PHYLLIS J BAGBY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046307

License Status

NOT RENEWED

Business

First Name

PHYLLIS J

Last Name

BAGBY

Business Name

PHYLLIS J BAGBY

Original Issue Date

01/26/1979

Expiration Date

01/31/1993

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

10/21/2005