PHYLLIS L DAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041354882

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

Last Name

DAKE

Business Name

PHYLLIS L DAKE

Original Issue Date

08/14/2006

Effective Date

05/11/2022

Expiration Date

06/30/2024

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

02/05/2025