PHYLLIS L CARROLL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041282666

License Status

INACTIVE

Business

First Name

PHYLLIS L

Last Name

CARROLL

Business Name

PHYLLIS L CARROLL

Original Issue Date

08/01/1994

Effective Date

08/01/1994

Expiration Date

05/31/2000

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006