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Professional License Details
Name: KURT N. PHILLIPS
DBA:
License Number: 5885
License Type: IS A CERTIFIED NURSE AIDE
Status: ABUSE REGISTERY Nurse Aide Program
Address: 4210 GALACTICA DR.   ANCHORAGE AK 99517  
Expiration Date:
Current Issue Date: 03/31/2000
First Issue Date: 09/03/1998
Additional Info: CERTIFICATE REVOKED EFFECTIVE 3/13/02.
This license has been the subject of a formal agreement, order or disciplinary action. Contact the division for more information.