Wisconsin
Department of Safety and Professional Services
Bacon, Phyllis A
Licensed Practical Nurse
License number
6710-31
Date granted
08/04/1966
Date expires
04/30/2013
Class
Licensed Practical Nurse
Status
Expired
nursingwisconsin.org
ID 12991051
LAST UPDATED 2024-05-03 07:24:42 UTC
LAST UPDATED 2024-05-03 07:24:42 UTC
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