PHYLLIS L AVERY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041313726

License Status

INACTIVE

Business

First Name

PHYLLIS

Middle

Last Name

AVERY

Business Name

PHYLLIS L AVERY

Original Issue Date

03/24/1999

Effective Date

05/20/2016

Expiration Date

05/31/2018

City

NEW WINDSOR

State

Zip

61465

County

MERCER

Ever Disciplined

LastModifiedDate

03/06/2018