PHYLLIS HOSEA THOMAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041186538

License Status

NOT RENEWED

Business

First Name

PHYLLIS HOSEA

Last Name

THOMAS

Business Name

PHYLLIS HOSEA THOMAS

Original Issue Date

12/12/1978

Effective Date

12/12/1978

Expiration Date

05/31/2004

City

GARY

State

Zip

46408

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006