PHYLLIS ANTONE FROST Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041105700

License Status

NOT RENEWED

Business

First Name

PHYLLIS ANTONE

Last Name

FROST

Business Name

PHYLLIS ANTONE FROST

Original Issue Date

04/01/1963

Effective Date

04/01/1963

City

BRISTOL

State

Zip

46507

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006