PHYLLIS A HENEGHAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043030354

License Status

NOT RENEWED

Business

First Name

PHYLLIS A

Last Name

HENEGHAN

Business Name

PHYLLIS A HENEGHAN

Original Issue Date

03/02/1972

Effective Date

01/05/2005

Expiration Date

01/31/2007

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

03/16/2007