PHYLLIS J BLAINE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043057281

License Status

INACTIVE

Business

First Name

PHYLLIS J

Last Name

BLAINE

Business Name

PHYLLIS J BLAINE

Original Issue Date

05/09/1983

Expiration Date

01/31/1989

City

ELSAH

State

Zip

62028

County

JERSEY

Ever Disciplined

LastModifiedDate

10/21/2005