PHYLLIS A FERGUSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012590

License Status

NOT RENEWED

Business

First Name

PHYLLIS A

Last Name

FERGUSON

Business Name

PHYLLIS A FERGUSON

Original Issue Date

09/04/1964

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005