PHYLLIS C ALLEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043065335

License Status

INACTIVE

Business

First Name

PHYLLIS C

Last Name

ALLEN

Business Name

PHYLLIS C ALLEN

Original Issue Date

12/15/1987

Effective Date

12/20/2004

Expiration Date

01/31/2005

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

10/15/2005