PHYLLIS DAWN GRISHAM - Registered Nurse License in Illinois | # 043078467

PHYLLIS DAWN GRISHAM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078467

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS

Last Name

DAWN GRISHAM

Business Name

PHYLLIS DAWN GRISHAM

Original Issue Date

11/07/1995

Effective Date

02/03/2005

Expiration Date

01/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

03/16/2007