PHYLLIS L MASTON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041171169

License Status

NOT RENEWED

Business

First Name

PHYLLIS L

Last Name

MASTON

Business Name

PHYLLIS L MASTON

Original Issue Date

11/01/1976

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

EAST ST LOUIS

State

Zip

62203

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/14/2021