Phyllis Forde Gittens
InactiveIllinois license 041196444
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041196444
- Status
- Inactive
- First issued
- September 15, 1980
- Expired
- May 31, 1984
- License holder
- Phyllis Forde Gittens
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 09/15/1980
Contact
Danbury, CT 06811