PHYLLIS DENISE WHITE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041503506

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

DENISE

Last Name

WHITE

Business Name

PHYLLIS DENISE WHITE

Original Issue Date

12/12/2020

Effective Date

05/04/2022

Expiration Date

06/30/2024

City

MICHIGAN CITY

State

Zip

46360

Ever Disciplined

LastModifiedDate

02/05/2025