PHYLLIS J BLAINE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041241164

License Status

NOT RENEWED

Business

First Name

PHYLLIS J

Last Name

BLAINE

Business Name

PHYLLIS J BLAINE

Original Issue Date

04/30/1987

Effective Date

05/17/2016

Expiration Date

05/31/2018

City

DOW

State

Zip

62022

County

JERSEY

Ever Disciplined

LastModifiedDate

07/19/2018