PHYLLIS RAMONA LEYBA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041317302

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

RAMONA

Last Name

LEYBA

Business Name

PHYLLIS RAMONA LEYBA

Original Issue Date

10/29/1999

Effective Date

03/26/2010

Expiration Date

05/31/2012

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

07/10/2012