PHYLLIS JOHNSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043025616

License Status

INACTIVE

Business

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

City

ANDOVER

State

Zip

61233

County

HENRY

Ever Disciplined

LastModifiedDate

01/13/2011