PHYLLIS S VASICH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043030008

License Status

INACTIVE

Business

First Name

PHYLLIS S

Last Name

VASICH

Business Name

PHYLLIS S VASICH

Original Issue Date

12/15/1971

City

LAGRANGE PARK

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005