PHYLLIS V LUCAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041140373

License Status

NOT RENEWED

Business

First Name

PHYLLIS V

Last Name

LUCAS

Business Name

PHYLLIS V LUCAS

Original Issue Date

08/30/1971

Effective Date

08/30/1971

City

FORT WAYNE

State

Zip

46805

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006