PHYLLIS A ELLISON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043009834

License Status

INACTIVE

Business

First Name

PHYLLIS A

Last Name

ELLISON

Business Name

PHYLLIS A ELLISON

Original Issue Date

04/03/1961

Effective Date

11/30/2004

Expiration Date

01/31/2007

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/03/2006