PHYLLIS ANN HAGAN - Advanced Practice Nurse License in Wisconsin | # 209008622

PHYLLIS ANN HAGAN

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209008622

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS

Middle

ANN

Last Name

HAGAN

Business Name

PHYLLIS ANN HAGAN

Original Issue Date

01/26/2011

Effective Date

01/26/2011

Expiration Date

05/31/2012

State

WI

Ever Disciplined

N

LastModifiedDate

07/10/2012