PHYLLIS MAE COOK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017174

License Status

INACTIVE

Business

First Name

PHYLLIS MAE

Last Name

COOK

Business Name

PHYLLIS MAE COOK

Original Issue Date

12/19/1966

Expiration Date

05/01/1982

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005