Milissa Christina Phillips-Bohlender

Nursing Board - Csr Prescriptive Authority

Indiana  71001697B   Active

This Indiana license is held by Milissa Christina Phillips-Bohlender. The license is currently active. It was granted on 02/04/2004 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 71001697B
  • Category: CSR-Prescriptive Authority
  • Status: Active
  • Date Granted: 02/04/2004 (over 22 years ago)
  • Expiry Date: 10/31/2015 (over 10 years ago)

LOCATIONS

A Address

Luthern Medical Group, LLC, 7916 West Jefferson Blvd, Fort Wayne IN 46804