PHYLLIS J LIGHTHART Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041305331

License Status

INACTIVE

Business

First Name

PHYLLIS

Middle

Last Name

LIGHTHART

Business Name

PHYLLIS J LIGHTHART

Original Issue Date

08/26/1997

Effective Date

04/10/2016

Expiration Date

05/31/2018

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/06/2018