SUSAN L PHILYAW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043030620

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

PHILYAW

Business Name

SUSAN L PHILYAW

Original Issue Date

04/11/1972

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005