PHYLLIS M VANDERVELDE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041163176

License Status

NOT RENEWED

Business

First Name

PHYLLIS M

Last Name

VANDERVELDE

Business Name

PHYLLIS M VANDERVELDE

Original Issue Date

10/24/1975

Effective Date

06/23/2020

Expiration Date

08/31/2022

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2022