PHYLLIS MAE COOK - Registered Nurse License in Illinois | # 043017174

PHYLLIS MAE COOK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017174

License Status

INACTIVE

Business

N

First Name

PHYLLIS MAE

Last Name

COOK

Business Name

PHYLLIS MAE COOK

Original Issue Date

12/19/1966

Expiration Date

05/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005