PHYLLIS LORRAINE SHEPHERD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043029515

License Status

NOT RENEWED

Business

First Name

PHYLLIS LORRAINE

Last Name

SHEPHERD

Business Name

PHYLLIS LORRAINE SHEPHERD

Original Issue Date

12/21/1971

Expiration Date

01/31/1997

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005