PHYLLIS JEAN STAHL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017043

License Status

NOT RENEWED

Business

First Name

PHYLLIS JEAN

Last Name

STAHL

Business Name

PHYLLIS JEAN STAHL

Original Issue Date

11/30/1966

Expiration Date

01/31/1999

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

05/27/2005