PHYLLIS BOSTON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043027292

License Status

INACTIVE

Business

First Name

PHYLLIS

Last Name

BOSTON

Business Name

PHYLLIS BOSTON

Original Issue Date

01/25/1971

Effective Date

11/13/2000

Expiration Date

01/31/2001

City

BEARDSTOWN

State

Zip

62618

County

CASS

Ever Disciplined

LastModifiedDate

10/15/2005