PHYLLIS MARIE JOHANAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041150706

License Status

INACTIVE

Business

First Name

PHYLLIS MARIE

Last Name

JOHANAN

Business Name

PHYLLIS MARIE JOHANAN

Original Issue Date

10/03/1973

Effective Date

10/03/1973

City

KNOX

State

Zip

46534

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006