DIANNE B WAGNER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001600

License Status

NOT RENEWED

Business

First Name

DIANNE

Middle

Last Name

WAGNER

Business Name

DIANNE B WAGNER

Original Issue Date

06/22/2001

Effective Date

06/22/2001

Expiration Date

05/31/2004

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

06/09/2008