PHYLLIS ROSE WALKUP Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043024386

License Status

INACTIVE

Business

First Name

PHYLLIS ROSE

Last Name

WALKUP

Business Name

PHYLLIS ROSE WALKUP

Original Issue Date

11/27/1968

Effective Date

12/05/2002

Expiration Date

01/31/2003

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/15/2005