PHYLLIS S LISKA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012045

License Status

INACTIVE

Business

First Name

PHYLLIS S

Last Name

LISKA

Business Name

PHYLLIS S LISKA

Original Issue Date

01/22/1964

Effective Date

11/01/2002

Expiration Date

01/31/2003

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/15/2005