PHYLLIS DAWN GRISHAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078467

License Status

NOT RENEWED

Business

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

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

03/16/2007