PHYLLIS W MAYFIELD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041123394

License Status

INACTIVE

Business

First Name

PHYLLIS W

Last Name

MAYFIELD

Business Name

PHYLLIS W MAYFIELD

Original Issue Date

10/02/1964

Effective Date

10/02/1964

City

BROWNSBURG

State

Zip

46112

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006