JACQUELINE CAROL WAGGONER - Registered Nurse License in Arizona | # 041168482

JACQUELINE CAROL WAGGONER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041168482

License Status

NOT RENEWED

Business

N

First Name

JACQUELINE CAROL

Last Name

WAGGONER

Business Name

JACQUELINE CAROL WAGGONER

Original Issue Date

11/01/1976

Effective Date

05/27/2010

Expiration Date

05/31/2012

State

AZ

Ever Disciplined

N

LastModifiedDate

07/10/2012