Phyllis Elaine Bragg

Nursing Board - Csr Prescriptive Authority

Indiana  71003158B   Expired

This Indiana license was held by Phyllis Elaine Bragg. The license is no longer active. It was granted on 12/31/2009 and expired on 10/31/2011

LICENSE DETAILS

  • License Number: 71003158B
  • Category: CSR-Prescriptive Authority
  • Status: Expired
  • Date Granted: 12/31/2009 (over 16 years ago)
  • Expiry Date: 10/31/2011 (over 14 years ago)

LOCATIONS

A Address

Parkview Occupational Health, 3103 East State Blvd., Fort Wayne IN 46809