PHYLLIS A KLEIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043022425

License Status

INACTIVE

Business

First Name

PHYLLIS A

Last Name

KLEIN

Business Name

PHYLLIS A KLEIN

Original Issue Date

01/31/1968

Effective Date

01/15/2013

Expiration Date

01/31/2015

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/07/2014