PHYLLIS P ROUSSEAU Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046713

License Status

INACTIVE

Business

First Name

PHYLLIS P

Last Name

ROUSSEAU

Business Name

PHYLLIS P ROUSSEAU

Original Issue Date

02/20/1979

Expiration Date

01/31/1985

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005