PHYLLIS DEAN BURCHAM
Licensed Practical Nurse
Illinois 043030170 Inactive
This Illinois license was held by PHYLLIS DEAN BURCHAM. The license is no longer active. It was granted on 03/02/1972 and expired on 01/31/2011
LICENSE DETAILS
- License Number: 043030170
- Category: LICENSED PRACTICAL NURSE
- Status: Inactive
- Date Granted: 03/02/1972 (over 52 years ago)
- Expiry Date: 01/31/2011 (over 13 years ago)
LOCATIONS
A Address
NEW DOUGLAS, IL 62074