PHYLLIS LORRAINE SHEPHERD - Registered Nurse License in Illinois | # 043029515

PHYLLIS LORRAINE SHEPHERD

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043029515

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS LORRAINE

Last Name

SHEPHERD

Business Name

PHYLLIS LORRAINE SHEPHERD

Original Issue Date

12/21/1971

Expiration Date

01/31/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005