PHYLLIS ROSEN - Registered Nurse License in Illinois | # 043037469

PHYLLIS ROSEN

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043037469

License Status

INACTIVE

Business

N

First Name

PHYLLIS

Last Name

ROSEN

Business Name

PHYLLIS ROSEN

Original Issue Date

06/10/1975

Effective Date

12/14/2004

Expiration Date

01/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005