PHYLLIS L SAMFORD - Registered Nurse License in Illinois | # 043042078

PHYLLIS L SAMFORD

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043042078

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS L

Last Name

SAMFORD

Business Name

PHYLLIS L SAMFORD

Original Issue Date

07/08/1977

Expiration Date

01/31/1987

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005