PHYLLIS ILONA PETERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043047591

License Status

NOT RENEWED

Business

First Name

PHYLLIS ILONA

Last Name

PETERSON

Business Name

PHYLLIS ILONA PETERSON

Original Issue Date

10/19/1979

Expiration Date

01/31/1989

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

10/21/2005