PHYLLIS K MADLEM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012609

License Status

NOT RENEWED

Business

First Name

PHYLLIS K

Last Name

MADLEM

Business Name

PHYLLIS K MADLEM

Original Issue Date

09/04/1964

Effective Date

01/27/2015

Expiration Date

01/31/2017

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

03/27/2017