PHYLLIS L CARROLL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043048799

License Status

NOT RENEWED

Business

First Name

PHYLLIS L

Last Name

CARROLL

Business Name

PHYLLIS L CARROLL

Original Issue Date

01/07/1980

Expiration Date

01/31/1995

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005