PHYLLIS ELY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043032364

License Status

INACTIVE

Business

First Name

PHYLLIS

Last Name

ELY

Business Name

PHYLLIS ELY

Original Issue Date

12/14/1972

Effective Date

11/08/2004

Expiration Date

01/31/2007

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

11/03/2006