PHYLLIS JEAN JOHNSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043034444

License Status

INACTIVE

Business

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

City

MODE

State

Zip

62444

County

SHELBY

Ever Disciplined

LastModifiedDate

10/15/2005