PHYLLIS M HAGENWALD - Registered Nurse License in New Mexico | # 041075043

PHYLLIS M HAGENWALD

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041075043

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS M

Last Name

HAGENWALD

Business Name

PHYLLIS M HAGENWALD

Original Issue Date

04/20/1953

Effective Date

04/20/1953

State

NM

Ever Disciplined

N

LastModifiedDate

09/27/2006