R PHYLLIS M WAGNER - Registered Nurse License in Illinois | # 041146763

R PHYLLIS M WAGNER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041146763

License Status

NOT RENEWED

Business

N

First Name

R PHYLLIS M

Last Name

WAGNER

Business Name

R PHYLLIS M WAGNER

Original Issue Date

12/13/1972

Effective Date

12/13/1972

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006