ELISE M. WAGONER - Registered Nurse License in Kentucky | # 041242527

ELISE M. WAGONER

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041242527

License Status

INACTIVE

Business

N

First Name

ELISE

Middle

M.

Last Name

WAGONER

Business Name

ELISE M. WAGONER

Original Issue Date

08/29/1987

Effective Date

08/29/1987

Expiration Date

05/31/2004

State

KY

Ever Disciplined

N

LastModifiedDate

10/09/2006