PHYLLIS M HAGENWALD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041075043

License Status

NOT RENEWED

Business

First Name

PHYLLIS M

Last Name

HAGENWALD

Business Name

PHYLLIS M HAGENWALD

Original Issue Date

04/20/1953

Effective Date

04/20/1953

City

ALBUQUERQUE

State

Zip

87110

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

09/27/2006