PHYLLIS K WALLY POLVI Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043073762

License Status

NOT RENEWED

Business

First Name

PHYLLIS K

Last Name

WALLY POLVI

Business Name

PHYLLIS K WALLY POLVI

Original Issue Date

06/09/1993

Effective Date

02/01/2023

Expiration Date

02/28/2025

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/08/2025