PHYLLIS J LIGHTHART Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043030022

License Status

INACTIVE

Business

First Name

PHYLLIS

Middle

Last Name

LIGHTHART

Business Name

PHYLLIS J LIGHTHART

Original Issue Date

12/15/1971

Expiration Date

01/31/1999

City

ROCKFORD

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/27/2005