PHYLLIS A FAVAZZA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041271601

License Status

INACTIVE

Business

First Name

PHYLLIS A

Last Name

FAVAZZA

Business Name

PHYLLIS A FAVAZZA

Original Issue Date

10/17/1992

Effective Date

10/17/1992

Expiration Date

05/31/1998

City

GLOUCESTER

State

Zip

01930

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/27/2006