CAROLYN E WAGNER - Registered Nurse License in Wisconsin | # 041339966

CAROLYN E WAGNER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041339966

License Status

NOT RENEWED

Business

N

First Name

CAROLYN

Middle

E

Last Name

WAGNER

Business Name

CAROLYN E WAGNER

Original Issue Date

05/21/2004

Effective Date

05/21/2004

Expiration Date

05/31/2006

State

WI

Ever Disciplined

N

LastModifiedDate

10/09/2006