SUSAN N WAGNER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****81

License Status

NOT RENEWED

Business

First Name

SUSAN N

Last Name

WAGNER

Business Name

SUSAN N WAGNER

Original Issue Date

10/20/2006

Effective Date

04/23/2010

Expiration Date

05/31/2012

City

CEDAR HILL

State

Zip

63016

Ever Disciplined

LastModifiedDate

07/10/2012