PHYLLIS A MAW - Registered Nurse License in Illinois | # 041158045

PHYLLIS A MAW

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041158045

License Status

INACTIVE

Business

N

First Name

PHYLLIS A

Last Name

MAW

Business Name

PHYLLIS A MAW

Original Issue Date

12/06/1974

Effective Date

12/06/1974

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006