PHYLLIS ANN SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041295687

License Status

NOT RENEWED

Business

First Name

PHYLLIS ANN

Last Name

SMITH

Business Name

PHYLLIS ANN SMITH

Original Issue Date

03/13/1996

Effective Date

03/13/1996

Expiration Date

05/31/1998

City

COUNTRYSIDE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006