PHYLLIS S VASICH - Registered Nurse License in Illinois | # 043030008

PHYLLIS S VASICH

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043030008

License Status

INACTIVE

Business

N

First Name

PHYLLIS S

Last Name

VASICH

Business Name

PHYLLIS S VASICH

Original Issue Date

12/15/1971

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005