PHYLLIS M PAULK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041276388

License Status

NOT RENEWED

Business

First Name

PHYLLIS M

Last Name

PAULK

Business Name

PHYLLIS M PAULK

Original Issue Date

10/13/1993

Effective Date

03/22/2010

Expiration Date

05/31/2012

City

GARY

State

Zip

46402

County

INDIANA

Ever Disciplined

LastModifiedDate

07/10/2012