PHAPHONE MOTA - Registered Nurse License in Illinois | # 043083042

PHAPHONE MOTA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083042

License Status

NOT RENEWED

Business

N

First Name

PHAPHONE

Last Name

MOTA

Business Name

PHAPHONE MOTA

Original Issue Date

11/09/1998

Effective Date

03/07/2001

Expiration Date

01/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005