PHYLLIS ROSEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043037469

License Status

INACTIVE

Business

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

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005