PHYLLIS JOLENE HODGES Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043036398

License Status

INACTIVE

Business

First Name

PHYLLIS JOLENE

Last Name

HODGES

Business Name

PHYLLIS JOLENE HODGES

Original Issue Date

01/30/1975

Effective Date

11/29/2004

Expiration Date

01/31/2005

City

CAMBRIA

State

Zip

62915

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/15/2005