PHYLLIS A BLACKWELL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041265483

License Status

NOT RENEWED

Business

First Name

PHYLLIS A

Last Name

BLACKWELL

Business Name

PHYLLIS A BLACKWELL

Original Issue Date

10/02/1991

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/16/2010