PHILLIS D WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041255358

License Status

NOT RENEWED

Business

First Name

PHILLIS D

Last Name

WAGNER

Business Name

PHILLIS D WAGNER

Original Issue Date

10/07/1989

Effective Date

10/07/1989

Expiration Date

05/31/2000

City

PADUCAH

State

Zip

42001

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/27/2006