PHYLLIS C STANFORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041261182

License Status

NOT RENEWED

Business

First Name

PHYLLIS C

Last Name

STANFORD

Business Name

PHYLLIS C STANFORD

Original Issue Date

01/04/1991

Effective Date

05/26/2020

Expiration Date

08/31/2022

City

CEDAR LAKE

State

Zip

46303

County

INDIANA

Ever Disciplined

LastModifiedDate

10/14/2022