PHYLLIS A GLASCOCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043045031

License Status

NOT RENEWED

Business

First Name

PHYLLIS A

Last Name

GLASCOCK

Business Name

PHYLLIS A GLASCOCK

Original Issue Date

11/08/1978

Expiration Date

01/31/1997

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005