PHYLLIS L EISNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079666

License Status

NOT RENEWED

Business

First Name

PHYLLIS L

Last Name

EISNER

Business Name

PHYLLIS L EISNER

Original Issue Date

09/19/1996

Effective Date

01/31/2017

Expiration Date

01/31/2019

City

FOX LAKE

State

Zip

60020

County

LAKE

Ever Disciplined

LastModifiedDate

03/28/2019