PHYLLIS MARIE JEFFERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041199499

License Status

NOT RENEWED

Business

First Name

PHYLLIS MARIE

Last Name

JEFFERSON

Business Name

PHYLLIS MARIE JEFFERSON

Original Issue Date

11/17/1980

Effective Date

08/19/2022

Expiration Date

06/30/2024

City

WINCHESTER

State

Zip

62694

County

SCOTT

Ever Disciplined

LastModifiedDate

02/05/2025