License holder summary

PHYLISS MICUCCI-TIMMERMAN is a Nursing - Licensed Practical Nurse licensed to practice in Maine. The address on file for PHYLISS MICUCCI-TIMMERMAN is 147 SOKOKIS TRL, E WATERBORO, ME 04030-5402. This licensed professional license is not current. The license was granted 10/17/1972 and expired on 07/01/1977.

Maine

Office of Professional and Occupational Regulation

PHYLISS MICUCCI-TIMMERMAN
Nursing - Licensed Practical Nurse
License number
LPN3729
Date granted
10/17/1972
Date expires
07/01/1977
Class
Nursing - Licensed Practical Nurse
Status
Failed to Renew
Address
147 SOKOKIS TRL, E WATERBORO, ME 04030-5402
mainelicensing.org
ID 21280310
LAST UPDATED 2026-03-25 05:33:37 UTC

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