PHYLLIS A WARDLOW Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043036558

License Status

INACTIVE

Business

First Name

PHYLLIS A

Last Name

WARDLOW

Business Name

PHYLLIS A WARDLOW

Original Issue Date

01/30/1975

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005