PHYLOMINE CALVIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043033943

License Status

INACTIVE

Business

First Name

PHYLOMINE

Last Name

CALVIN

Business Name

PHYLOMINE CALVIN

Original Issue Date

02/22/1974

Expiration Date

01/31/1993

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005