PHYLLIS J LUNDGARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041172008

License Status

NOT RENEWED

Business

First Name

PHYLLIS J

Last Name

LUNDGARD

Business Name

PHYLLIS J LUNDGARD

Original Issue Date

11/03/1976

Effective Date

11/03/1976

Expiration Date

05/01/1982

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/27/2006