PHYLLIS B GREEN - Registered Nurse License in Illinois | # 043016384

PHYLLIS B GREEN

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043016384

License Status

INACTIVE

Business

N

First Name

PHYLLIS B

Last Name

GREEN

Business Name

PHYLLIS B GREEN

Original Issue Date

10/06/1966

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005