PHILLIS HENRICH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043025065

License Status

NOT RENEWED

Business

First Name

PHILLIS

Last Name

HENRICH

Business Name

PHILLIS HENRICH

Original Issue Date

05/22/1969

Expiration Date

01/31/1985

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005