PHYLLIS J COWAN CARROLL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043032244

License Status

NOT RENEWED

Business

First Name

PHYLLIS J COWAN

Last Name

CARROLL

Business Name

PHYLLIS J COWAN CARROLL

Original Issue Date

12/14/1972

Expiration Date

01/31/1991

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005