PHYLLIS WEAVER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043015821

License Status

INACTIVE

Business

First Name

PHYLLIS

Last Name

WEAVER

Business Name

PHYLLIS WEAVER

Original Issue Date

09/02/1966

City

CASEY

State

Zip

62420

County

CLARK

Ever Disciplined

LastModifiedDate

10/21/2005