PHYLLIS A ANDERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041315319

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

Last Name

ANDERSON

Business Name

PHYLLIS A ANDERSON

Original Issue Date

08/02/1999

Effective Date

09/22/2022

Expiration Date

06/30/2024

City

TREMONT

State

Zip

61568

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/05/2025