PHYLLIS A BLACKWELL - Registered Nurse License in Illinois | # 041265483

PHYLLIS A BLACKWELL

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041265483

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

08/16/2010