PHYLLIS HENDERSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043037514

License Status

INACTIVE

Business

First Name

PHYLLIS

Last Name

HENDERSON

Business Name

PHYLLIS HENDERSON

Original Issue Date

06/10/1975

Expiration Date

01/31/1995

City

TOWANDA

State

Zip

61776

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/21/2005