PHYLLIS L COLVIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043061517

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

Last Name

COLVIN

Business Name

PHYLLIS L COLVIN

Original Issue Date

07/03/1985

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

03/17/2009