License holder summary

PHYLLIS ANN WAGNER is a Licensed Practical Nurse licensed to practice in Indiana. The address on file for PHYLLIS ANN WAGNER is CYNTHIANA IN 47612. This nurse license is not current. The license was granted 01/01/1972 and expired on 10/31/2004.

Indiana

State Board of Nursing

PHYLLIS ANN WAGNER
Licensed Practical Nurse
License number
27011163A
Date granted
01/01/1972
Date expires
10/31/2004
Class
Licensed Practical Nurse
Status
Expired
Address
CYNTHIANA IN 47612
nursingindiana.org
ID 6467522
LAST UPDATED 2024-03-22 12:12:56 UTC

This website is unaffiliated with the State Board of Nursing. Please verify all information directly with the relevant official government authority.

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