PHYLLIS M BOTMA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041161921

License Status

INACTIVE

Business

First Name

PHYLLIS M

Last Name

BOTMA

Business Name

PHYLLIS M BOTMA

Original Issue Date

10/24/1975

Effective Date

10/24/1975

Expiration Date

05/31/2000

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006