License holder summary

PHYLLIS LAVINA WAGNER is a Licensed Practical Nurse licensed to practice in Indiana. The address on file for PHYLLIS LAVINA WAGNER is CHURUBUSCO IN 46723. This nurse license is not current. The license was granted 01/01/1974 and expired on 10/31/1990.

Indiana

State Board of Nursing

PHYLLIS LAVINA WAGNER
Licensed Practical Nurse
License number
27013162A
Date granted
01/01/1974
Date expires
10/31/1990
Class
Licensed Practical Nurse
Status
Expired
Address
CHURUBUSCO IN 46723
nursingindiana.org
ID 6459640
LAST UPDATED 2024-05-18 17:46:13 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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