PHYLLIS JEAN URBONAS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043057246

License Status

INACTIVE

Business

First Name

PHYLLIS JEAN

Last Name

URBONAS

Business Name

PHYLLIS JEAN URBONAS

Original Issue Date

05/09/1983

Expiration Date

01/31/1995

City

MOUNT OLIVE

State

Zip

62069

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/21/2005