PHYLLIS K GROTTS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041149951

License Status

INACTIVE

Business

First Name

PHYLLIS K

Last Name

GROTTS

Business Name

PHYLLIS K GROTTS

Original Issue Date

10/03/1973

Effective Date

06/01/2010

Expiration Date

05/31/2012

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

03/08/2012