PHYLLIS L WAGNER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041039343

License Status

INACTIVE

Business

First Name

PHYLLIS L

Last Name

WAGNER

Business Name

PHYLLIS L WAGNER

Original Issue Date

05/04/1940

Effective Date

05/04/1940

Expiration Date

05/31/1990

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006