JILL DIANE BAGNELL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043082574

License Status

NOT RENEWED

Business

First Name

JILL

Middle

DIANE

Last Name

BAGNELL

Business Name

JILL DIANE BAGNELL

Original Issue Date

08/25/1998

Effective Date

02/22/1999

Expiration Date

01/31/1999

City

GREEN VALLEY

State

Zip

85614

Ever Disciplined

LastModifiedDate

10/21/2005