THERESA M PHILLIPS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043071022

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

Last Name

PHILLIPS

Business Name

THERESA M PHILLIPS

Original Issue Date

01/16/1992

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005