PHYLLIS J BLACK - Registered Nurse License in Illinois | # 041247387

PHYLLIS J BLACK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041247387

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS J

Last Name

BLACK

Business Name

PHYLLIS J BLACK

Original Issue Date

05/01/1988

Effective Date

04/08/2014

Expiration Date

05/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2016