PHYLLIS J VANDEWATER - Registered Nurse License in Illinois | # 041186221

PHYLLIS J VANDEWATER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041186221

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006