PHYLLIS A MAXWELL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043042054

License Status

NOT RENEWED

Business

First Name

PHYLLIS A

Last Name

MAXWELL

Business Name

PHYLLIS A MAXWELL

Original Issue Date

07/08/1977

Effective Date

12/27/2010

Expiration Date

01/31/2013

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

03/20/2013