PHYLLIS G HOLLEMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041096052

License Status

INACTIVE

Business

First Name

PHYLLIS G

Last Name

HOLLEMAN

Business Name

PHYLLIS G HOLLEMAN

Original Issue Date

04/01/1960

Effective Date

04/01/1960

City

SOUTH BEND

State

Zip

46614

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006