ELIJAH RYAN PHONEIX - Registered Nurse License in Illinois | # 043123119

ELIJAH RYAN PHONEIX

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043123119

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

03/28/2019