PHYLLIS M WALTER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041279528

License Status

NOT RENEWED

Business

First Name

PHYLLIS M

Last Name

WALTER

Business Name

PHYLLIS M WALTER

Original Issue Date

04/09/1994

Effective Date

05/03/2010

Expiration Date

05/31/2012

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

07/10/2012