Phyllis M Wagner
InactiveIllinois license 041196361
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041196361
- Status
- Inactive
- First issued
- August 6, 1980
- Expired
- May 31, 2014
- License holder
- Phyllis M Wagner
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 03/19/2012
Contact
Quincy, IL 62301
Adams County