License holder summary

PHYLLIS M HAGENWALD is a Registered Nurse licensed to practice in Indiana. The address on file for PHYLLIS M HAGENWALD is LAKE STATION IN 46405. This nurse license is not current. The license was granted 01/01/1952 and expired on 10/31/2001.

Indiana

State Board of Nursing

PHYLLIS M HAGENWALD
Registered Nurse
License number
28026418A
Date granted
01/01/1952
Date expires
10/31/2001
Class
Registered Nurse
Status
Expired
Address
LAKE STATION IN 46405
nursingindiana.org
ID 8066747
LAST UPDATED 2024-03-17 14:28:39 UTC

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