IDA M PHILLIPS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043029289

License Status

NOT RENEWED

Business

First Name

IDA M

Last Name

PHILLIPS

Business Name

IDA M PHILLIPS

Original Issue Date

11/01/1971

Expiration Date

01/31/1991

City

SOUTH HOLLAND

State

Zip

60473

Ever Disciplined

LastModifiedDate

10/21/2005