PHYLLIS B SMITH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043011917

License Status

INACTIVE

Business

First Name

PHYLLIS B

Last Name

SMITH

Business Name

PHYLLIS B SMITH

Original Issue Date

01/22/1964

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

10/21/2005