PHYLLIS J BRAY KLEEMANN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043032031

License Status

INACTIVE

Business

First Name

PHYLLIS J BRAY

Last Name

KLEEMANN

Business Name

PHYLLIS J BRAY KLEEMANN

Original Issue Date

12/13/1972

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

11/10/2008