PHILLIP D CORNISH II Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041330786

License Status

INACTIVE

Business

First Name

PHILLIP

Middle

Last Name

CORNISH

Suffix

Business Name

PHILLIP D CORNISH II

Original Issue Date

07/23/2002

Effective Date

07/23/2002

Expiration Date

05/31/2006

City

GROVER

State

Zip

63040

Ever Disciplined

LastModifiedDate

10/09/2006