PHYLLIS D GRAY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012687

License Status

NOT RENEWED

Business

First Name

PHYLLIS D

Last Name

GRAY

Business Name

PHYLLIS D GRAY

Original Issue Date

11/30/1964

Expiration Date

01/31/1987

City

EVERGREEN PARK

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005