PHYLLIS MARIE BASHORE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041235517

License Status

INACTIVE

Business

First Name

PHYLLIS MARIE

Last Name

BASHORE

Business Name

PHYLLIS MARIE BASHORE

Original Issue Date

04/30/1986

Effective Date

04/30/1986

Expiration Date

05/31/2008

City

CISNE

State

Zip

62823

County

WAYNE

Ever Disciplined

LastModifiedDate

03/11/2008