DUANE EDWARD WAGNER - Registered Nurse License in Indiana | # 041319790

DUANE EDWARD WAGNER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041319790

License Status

NOT RENEWED

Business

N

First Name

DUANE

Middle

EDWARD

Last Name

WAGNER

Business Name

DUANE EDWARD WAGNER

Original Issue Date

06/12/2000

Effective Date

05/20/2008

Expiration Date

05/31/2010

State

IN

Ever Disciplined

N

LastModifiedDate

08/16/2010