PHYLLIS MARIE SUPER

Registered Nurse

Indiana  28088165A   Expired

This Indiana license was held by PHYLLIS MARIE SUPER. The license is no longer active. It was granted on 11/01/1983 and expired on 10/31/1989

LICENSE DETAILS

  • License Number: 28088165A
  • Category: Registered Nurse
  • Status: Expired
  • Date Granted: 11/01/1983 (over 40 years ago)
  • Expiry Date: 10/31/1989 (over 34 years ago)

LOCATIONS

A Address

BLOOMINGTON IN 47402