Phyllis I Tennant
InactiveIllinois license 041039967
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041039967
- Status
- Inactive
- First issued
- October 21, 1940
- License holder
- Phyllis I Tennant
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 10/21/1940
Contact
Decatur, IL 62522
Macon County