PHILLIP R JOHNSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043036426

License Status

NOT RENEWED

Business

First Name

PHILLIP R

Last Name

JOHNSON

Business Name

PHILLIP R JOHNSON

Original Issue Date

01/30/1975

Expiration Date

01/31/1997

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005