License holder summary

PHYLLIS JUANITA MOODY is a Nurse Registered & Licensed Practical - Lpn licensed to practice in Michigan. The address on file for PHYLLIS JUANITA MOODY is Ann Arbor, MI 48108. This licensed professional license is not current. The license was granted 04/22/1955 and expired on 03/31/2005.

Michigan

Department of Licensing and Regulation

PHYLLIS JUANITA MOODY
Nurse Registered & Licensed Practical - Lpn
License number
4703005133
Date granted
04/22/1955
Date expires
03/31/2005
Class
Nurse Registered & Licensed Practical - Lpn
Status
Deceased
Address
Ann Arbor, MI 48108
michiganlicensing.org
ID 25816038
LAST UPDATED 2024-03-19 02:12:48 UTC

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