PHYLLIS L SAMFORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043042078

License Status

NOT RENEWED

Business

First Name

PHYLLIS L

Last Name

SAMFORD

Business Name

PHYLLIS L SAMFORD

Original Issue Date

07/08/1977

Expiration Date

01/31/1987

City

FAIRFIELD

State

Zip

62837

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005