PHYLLIS MARIE BASHORE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043061591

License Status

INACTIVE

Business

First Name

PHYLLIS MARIE

Last Name

BASHORE

Business Name

PHYLLIS MARIE BASHORE

Original Issue Date

07/11/1985

Expiration Date

01/31/1987

City

CISNE

State

Zip

62823

County

WAYNE

Ever Disciplined

LastModifiedDate

10/21/2005