PHYLLIS JOHNSON - Registered Nurse License in Illinois | # 043025616

PHYLLIS JOHNSON

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043025616

License Status

INACTIVE

Business

N

First Name

PHYLLIS

Last Name

JOHNSON

Business Name

PHYLLIS JOHNSON

Original Issue Date

10/28/1969

Effective Date

02/05/2009

Expiration Date

01/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

01/13/2011