PHILLIP J SPAIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043063678

License Status

NOT RENEWED

Business

First Name

PHILLIP J

Last Name

SPAIN

Business Name

PHILLIP J SPAIN

Original Issue Date

01/17/1987

Expiration Date

01/31/1997

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005