BETH A PHILLIPS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087836

License Status

NOT RENEWED

Business

First Name

BETH

Middle

Last Name

PHILLIPS

Business Name

BETH A PHILLIPS

Original Issue Date

10/02/2002

Effective Date

12/13/2004

Expiration Date

01/31/2007

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/16/2007