PHYLLIS ALTA DUCKETT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043038442

License Status

NOT RENEWED

Business

First Name

PHYLLIS ALTA

Last Name

DUCKETT

Business Name

PHYLLIS ALTA DUCKETT

Original Issue Date

01/06/1976

Effective Date

06/07/2012

Expiration Date

01/31/2013

City

CHANNAHON

State

Zip

60410

County

WILL

Ever Disciplined

LastModifiedDate

03/20/2013