PHYLLIS JANE PORTER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043045849

License Status

INACTIVE

Business

First Name

PHYLLIS JANE

Last Name

PORTER

Business Name

PHYLLIS JANE PORTER

Original Issue Date

01/26/1979

Effective Date

12/15/2008

Expiration Date

01/31/2011

City

VANDALIA

State

Zip

62471

County

FAYETTE

Ever Disciplined

LastModifiedDate

11/03/2010