PHOEBE EDWARDS BACON - Registered Nurse License in Illinois | # 041160241

PHOEBE EDWARDS BACON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041160241

License Status

NOT RENEWED

Business

N

First Name

PHOEBE EDWARDS

Last Name

BACON

Business Name

PHOEBE EDWARDS BACON

Original Issue Date

05/05/1975

Effective Date

05/05/1975

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006