Phyllis Wagner
InactiveIllinois license 041052881
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041052881
- Status
- Inactive
- First issued
- January 1, 1997
- Expired
- May 31, 1986
- License holder
- Phyllis Wagner
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
Contact
Quincy, IL 62301
Adams County