Alaska Division of Occupational Licensing

State of Alaska

> Commerce

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.