PHYLLIS WEAVER - Registered Nurse License in Illinois | # 043015821

PHYLLIS WEAVER

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043015821

License Status

INACTIVE

Business

N

First Name

PHYLLIS

Last Name

WEAVER

Business Name

PHYLLIS WEAVER

Original Issue Date

09/02/1966

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005