PHILLIP RANDOLPH THOMAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041360660

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

RANDOLPH

Last Name

THOMAS

Business Name

PHILLIP RANDOLPH THOMAS

Original Issue Date

06/27/2007

Effective Date

06/11/2008

Expiration Date

05/31/2010

City

HATTIESBURG

State

Zip

39404

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

08/16/2010