PHYLLIS B GREEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043016384

License Status

INACTIVE

Business

First Name

PHYLLIS B

Last Name

GREEN

Business Name

PHYLLIS B GREEN

Original Issue Date

10/06/1966

City

CHICAGO

State

Zip

60609

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005