PHYLLIS JEAN JOHNSON - Registered Nurse License in Illinois | # 043034444

PHYLLIS JEAN JOHNSON

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043034444

License Status

INACTIVE

Business

N

First Name

PHYLLIS JEAN

Last Name

JOHNSON

Business Name

PHYLLIS JEAN JOHNSON

Original Issue Date

02/22/1974

Effective Date

12/17/2004

Expiration Date

01/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005