PHYLLIS J MILTENBERGER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043037434

License Status

NOT RENEWED

Business

First Name

PHYLLIS J

Last Name

MILTENBERGER

Business Name

PHYLLIS J MILTENBERGER

Original Issue Date

06/10/1975

Effective Date

01/14/2015

Expiration Date

01/31/2017

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

03/27/2017