| Name | PHYLLIS JOAN DAVIS |
| City/State |
| License and Registration Information | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
| PN.084989-MEDS | Licensed Practical Nurse - MEDS | 12/01/1990 | 05/29/1996 | 08/31/1998 | INACTIVE | Examination | |||||||||
| RN.254339- | Registered Nurse | 08/01/1994 | 05/25/2005 | 08/31/2007 | LAPSED | Examination | |||||||||