PHYLLIS M DOCKS-BURTLEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017201

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

Last Name

DOCKS-BURTLEY

Business Name

PHYLLIS M DOCKS-BURTLEY

Original Issue Date

12/19/1966

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005