ELIJAH RYAN PHONEIX Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043123119

License Status

NOT RENEWED

Business

First Name

ELIJAH

Middle

RYAN

Last Name

PHONEIX

Business Name

ELIJAH RYAN PHONEIX

Original Issue Date

09/19/2016

Effective Date

01/04/2017

Expiration Date

01/31/2019

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

03/28/2019