PHYLLIS KOSTECKA - Registered Nurse License in Illinois | # 043019412

PHYLLIS KOSTECKA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043019412

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS

Last Name

KOSTECKA

Business Name

PHYLLIS KOSTECKA

Original Issue Date

06/06/1967

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005