PHYLLIS ANNE LORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043033635

License Status

NOT RENEWED

Business

First Name

PHYLLIS ANNE

Last Name

LORD

Business Name

PHYLLIS ANNE LORD

Original Issue Date

12/14/1973

Effective Date

11/14/2018

Expiration Date

01/31/2021

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

03/11/2021