PHYLLIS I VEGICH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020478

License Status

INACTIVE

Business

First Name

PHYLLIS I

Last Name

VEGICH

Business Name

PHYLLIS I VEGICH

Original Issue Date

06/28/1967

Effective Date

12/08/2004

Expiration Date

01/31/2005

City

GLASFORD

State

Zip

61533

County

FULTON

Ever Disciplined

LastModifiedDate

10/15/2005