PHYLLIS A RADZOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041293130

License Status

NOT RENEWED

Business

First Name

PHYLLIS A

Last Name

RADZOM

Business Name

PHYLLIS A RADZOM

Original Issue Date

10/14/1995

Effective Date

10/14/1995

Expiration Date

05/31/1998

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

09/27/2006