PHYLLIS ANN ATHERTON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043030507

License Status

INACTIVE

Business

First Name

PHYLLIS ANN

Last Name

ATHERTON

Business Name

PHYLLIS ANN ATHERTON

Original Issue Date

04/11/1972

Effective Date

11/29/2004

Expiration Date

01/31/2007

City

LEWISTOWN

State

Zip

61542

County

FULTON

Ever Disciplined

LastModifiedDate

11/03/2006