PHYLLIS C MOORE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010655

License Status

NOT RENEWED

Business

First Name

PHYLLIS C

Last Name

MOORE

Business Name

PHYLLIS C MOORE

Original Issue Date

07/17/1962

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005