PHYLLIS HUCKLEBERRY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017962

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Last Name

HUCKLEBERRY

Business Name

PHYLLIS HUCKLEBERRY

Original Issue Date

01/24/1967

Expiration Date

01/31/1989

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

10/21/2005