PHYLLIS M SHIELDS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043055507

License Status

NOT RENEWED

Business

First Name

PHYLLIS M

Last Name

SHIELDS

Business Name

PHYLLIS M SHIELDS

Original Issue Date

02/23/1983

Effective Date

12/27/2012

Expiration Date

01/31/2015

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

03/09/2015