PHYLLIS WAGNER - Registered Nurse License in Illinois | # 041052881

PHYLLIS WAGNER

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041052881

License Status

INACTIVE

Business

N

First Name

PHYLLIS

Last Name

WAGNER

Business Name

PHYLLIS WAGNER

Original Issue Date

01/01/1997

Expiration Date

05/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006