MELISSA S WAGNER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209008273

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

WAGNER

Business Name

MELISSA S WAGNER

Original Issue Date

08/05/2010

Effective Date

04/17/2014

Expiration Date

05/31/2016

City

SAINT LOUIS

State

Zip

63109

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/11/2016