Phyllis Lilian Leacock
InactiveIllinois license 041187165
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041187165
- Status
- Inactive
- First issued
- April 19, 1979
- Expired
- May 31, 2008
- License holder
- Phyllis Lilian Leacock
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 04/19/1979
Contact
Celebration, FL 34747
Florida County