PHYLLIS A MAW Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041158045

License Status

INACTIVE

Business

First Name

PHYLLIS A

Last Name

MAW

Business Name

PHYLLIS A MAW

Original Issue Date

12/06/1974

Effective Date

12/06/1974

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

09/27/2006