PHYLLIS S STANOVICH - Registered Nurse License in Indiana | # 041360461

PHYLLIS S STANOVICH

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041360461

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS

Middle

S

Last Name

STANOVICH

Business Name

PHYLLIS S STANOVICH

Original Issue Date

06/14/2007

Effective Date

06/14/2007

Expiration Date

05/31/2008

State

IN

Ever Disciplined

N

LastModifiedDate

07/11/2008