PHYLLIS WAGNER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041052881

License Status

INACTIVE

Business

First Name

PHYLLIS

Last Name

WAGNER

Business Name

PHYLLIS WAGNER

Original Issue Date

01/01/1997

Expiration Date

05/31/1986

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

09/27/2006