License holder summary

PHYLLIS GWINN WALL is a Nursing Home Administrator - Nursing Home Administrator licensed to practice in Michigan. The address on file for PHYLLIS GWINN WALL is Kalamazoo, MI 49002. This licensed professional license is not current. The license was granted 12/10/1987 and expired on 10/31/1989.

Michigan

Department of Licensing and Regulation

PHYLLIS GWINN WALL
Nursing Home Administrator - Nursing Home Administrator
License number
4801002856
Date granted
12/10/1987
Date expires
10/31/1989
Class
Nursing Home Administrator - Nursing Home Administrator
Status
Lapsed
Address
Kalamazoo, MI 49002
michiganlicensing.org
ID 25867914
LAST UPDATED 2024-04-21 12:25:29 UTC

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