PHYLLIS E GRUEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043014746

License Status

INACTIVE

Business

First Name

PHYLLIS E

Last Name

GRUEN

Business Name

PHYLLIS E GRUEN

Original Issue Date

05/02/1966

Effective Date

12/06/2004

Expiration Date

01/31/2005

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

10/15/2005