PHYLLIS J LUNDGARD - Registered Nurse License in Illinois | # 041172008

PHYLLIS J LUNDGARD

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041172008

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006