PHYLLIS L SMITH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043038925

License Status

INACTIVE

Business

First Name

PHYLLIS L

Last Name

SMITH

Business Name

PHYLLIS L SMITH

Original Issue Date

01/06/1976

Expiration Date

01/31/1993

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005