PHYLLIS M FIELDS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043052669

License Status

INACTIVE

Business

First Name

PHYLLIS M

Last Name

FIELDS

Business Name

PHYLLIS M FIELDS

Original Issue Date

01/13/1982

Effective Date

01/06/2011

Expiration Date

01/31/2013

City

CHICAGO

State

Zip

60624

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2012