The holder whose full name is FAGEN, PHYLLIS M,come from GARY IN,hold the Registered Nurse license(NO.28048833A) which status is Expired.
| Name | FAGEN, PHYLLIS M |
|---|---|
| License Number | 28048833A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | GARY |
| State | IN |