PHYLLIS M AVELLA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041165303

License Status

NOT RENEWED

Business

First Name

PHYLLIS M

Last Name

AVELLA

Business Name

PHYLLIS M AVELLA

Original Issue Date

01/06/1976

Effective Date

01/06/1976

City

FORT SHERIDAN

State

Zip

60037

County

LAKE

Ever Disciplined

LastModifiedDate

09/27/2006