PHYLLIS MARIE HAYWOOD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041305754

License Status

INACTIVE

Business

First Name

PHYLLIS

Middle

MARIE

Last Name

HAYWOOD

Business Name

PHYLLIS MARIE HAYWOOD

Original Issue Date

09/10/1997

Effective Date

09/10/1997

Expiration Date

05/31/2000

City

JENNINGS

State

Zip

63136

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/27/2006