PHYLLIS A MOSS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041280855

License Status

NOT RENEWED

Business

First Name

PHYLLIS A

Last Name

MOSS

Business Name

PHYLLIS A MOSS

Original Issue Date

04/22/1994

Effective Date

05/06/2010

Expiration Date

05/31/2012

City

OGDEN

State

Zip

61859

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/10/2012