ELIJAH RYAN PHONEIX Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041484166

License Status

NOT RENEWED

Business

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

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

10/14/2022