PHYLLIS J BAGBY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041264196

License Status

INACTIVE

Business

First Name

PHYLLIS J

Last Name

BAGBY

Business Name

PHYLLIS J BAGBY

Original Issue Date

09/24/1991

Effective Date

09/24/1991

Expiration Date

05/31/2004

City

CENTRALIA

State

Zip

62801

County

CLINTON

Ever Disciplined

LastModifiedDate

10/09/2006