PHYLLIS VITA WERBACHOWSKI Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043025923

License Status

NOT RENEWED

Business

First Name

PHYLLIS VITA

Last Name

WERBACHOWSKI

Business Name

PHYLLIS VITA WERBACHOWSKI

Original Issue Date

12/17/1969

City

SOUTH BELOIT

State

Zip

61080

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005