PHYLLIS BLOMBERG - Registered Nurse License in Illinois | # 041179721

PHYLLIS BLOMBERG

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041179721

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS

Last Name

BLOMBERG

Business Name

PHYLLIS BLOMBERG

Original Issue Date

04/03/1978

Effective Date

04/03/1978

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006