Phyllis L Wagner
InactiveIllinois license 041039343
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041039343
- Status
- Inactive
- First issued
- May 4, 1940
- Expired
- May 31, 1990
- License holder
- Phyllis L Wagner
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 05/04/1940
Contact
Park Ridge, IL 60068
Cook County