PHYLLIS I DAVIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041235416

License Status

NOT RENEWED

Business

First Name

PHYLLIS I

Last Name

DAVIS

Business Name

PHYLLIS I DAVIS

Original Issue Date

04/28/1986

Effective Date

04/28/1986

Expiration Date

05/31/1996

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006