PHYLLIS A ANDERSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043060004

License Status

INACTIVE

Business

First Name

PHYLLIS A

Last Name

ANDERSON

Business Name

PHYLLIS A ANDERSON

Original Issue Date

01/18/1985

Effective Date

03/09/2011

Expiration Date

01/31/2013

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

11/08/2012