PHYLLIS ELY - Registered Nurse License in Illinois | # 043032364

PHYLLIS ELY

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043032364

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

11/03/2006