PHYLLIS B SMITH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043074307

License Status

NOT RENEWED

Business

First Name

PHYLLIS B

Last Name

SMITH

Business Name

PHYLLIS B SMITH

Original Issue Date

12/15/1993

Effective Date

03/31/2011

Expiration Date

01/31/2013

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

03/20/2013