MELISSA S WAGNER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

WAGNER

Business Name

MELISSA S WAGNER

Original Issue Date

09/03/2010

Effective Date

04/06/2012

Expiration Date

05/31/2014

City

ST LOUIS

State

Zip

63109

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/03/2014