PHYLLIS J VANDEWATER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041186221

License Status

NOT RENEWED

Business

First Name

PHYLLIS J

Last Name

VANDEWATER

Business Name

PHYLLIS J VANDEWATER

Original Issue Date

11/08/1978

Effective Date

11/08/1978

Expiration Date

05/01/1982

City

LISLE

State

Zip

60532

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/27/2006