PHYLLIS B PETERSON - Registered Nurse License in Illinois | # 041176816

PHYLLIS B PETERSON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041176816

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS B

Last Name

PETERSON

Business Name

PHYLLIS B PETERSON

Original Issue Date

10/12/1977

Effective Date

10/12/1977

Expiration Date

05/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006