PHYLLIS L FAULKNER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041058695

License Status

INACTIVE

Business

First Name

PHYLLIS L

Last Name

FAULKNER

Business Name

PHYLLIS L FAULKNER

Original Issue Date

12/03/1947

Effective Date

12/03/1947

Expiration Date

05/31/1990

City

PLYMOUTH

State

Zip

46563

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006