PHYLLIS MARIE CROSBY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043113964

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

MARIE

Last Name

CROSBY

Business Name

PHYLLIS MARIE CROSBY

Original Issue Date

11/22/2011

Effective Date

11/22/2011

Expiration Date

01/31/2013

City

GARY

State

Zip

46408

County

INDIANA

Ever Disciplined

LastModifiedDate

03/20/2013