PHYLLIS T EISENBERG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041221529

License Status

NOT RENEWED

Business

First Name

PHYLLIS T

Last Name

EISENBERG

Business Name

PHYLLIS T EISENBERG

Original Issue Date

01/10/1984

Effective Date

01/10/1984

Expiration Date

05/31/1990

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

09/27/2006