PHYLLIS A ZACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041269732

License Status

NOT RENEWED

Business

First Name

PHYLLIS A

Last Name

ZACK

Business Name

PHYLLIS A ZACK

Original Issue Date

09/28/1992

Effective Date

09/28/1992

Expiration Date

05/31/1994

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/27/2006