PHYLLIS A MELICHAR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041086162

License Status

NOT RENEWED

Business

First Name

PHYLLIS A

Last Name

MELICHAR

Business Name

PHYLLIS A MELICHAR

Original Issue Date

12/26/1956

Effective Date

05/11/2010

Expiration Date

05/31/2012

City

NEW BUFFALO

State

Zip

49117

County

MICHIGAN

Ever Disciplined

LastModifiedDate

07/10/2012