License holder summary

PHYLLIS A. WAGNER is a Health Facility Administrator licensed to practice in Indiana. The address on file for PHYLLIS A. WAGNER is CYNTHIANA IN 47612. This licensed professional license is not current. The license was granted 05/31/1977 and expired on 05/31/1985.

Indiana

Professional Licensing Agency

PHYLLIS A. WAGNER
Health Facility Administrator
License number
14000116A
Date granted
05/31/1977
Date expires
05/31/1985
Class
Health Facility Administrator
Status
Expired
Address
CYNTHIANA IN 47612
indianalicensing.org
ID 5681494
LAST UPDATED 2024-02-10 07:55:38 UTC

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