PHILIP F WILLIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041267077

License Status

NOT RENEWED

Business

First Name

PHILIP F

Last Name

WILLIS

Business Name

PHILIP F WILLIS

Original Issue Date

03/10/1992

Effective Date

03/10/1992

Expiration Date

05/31/2006

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006