PHYLLIS MARIE BASHORE - Registered Nurse License in Illinois | # 043061591

PHYLLIS MARIE BASHORE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043061591

License Status

INACTIVE

Business

N

First Name

PHYLLIS MARIE

Last Name

BASHORE

Business Name

PHYLLIS MARIE BASHORE

Original Issue Date

07/11/1985

Expiration Date

01/31/1987

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005