PHYLLIS JUDITH ALLEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041180025

License Status

NOT RENEWED

Business

First Name

PHYLLIS JUDITH

Last Name

ALLEN

Business Name

PHYLLIS JUDITH ALLEN

Original Issue Date

05/08/1978

Effective Date

04/14/2010

Expiration Date

05/31/2012

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

07/10/2012