ELIJAH RYAN PHONEIX - Registered Nurse License in Illinois | # 041484166

ELIJAH RYAN PHONEIX

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041484166

License Status

NOT RENEWED

Business

N

First Name

ELIJAH

Middle

RYAN

Last Name

PHONEIX

Business Name

ELIJAH RYAN PHONEIX

Original Issue Date

08/12/2019

Effective Date

09/14/2020

Expiration Date

08/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2022