PHYLLIS M SHIELDS - Registered Nurse License in Illinois | # 043055507

PHYLLIS M SHIELDS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043055507

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

03/09/2015