MARY KATHLEEN WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041362097

License Status

NOT RENEWED

Business

First Name

MARY

Middle

KATHLEEN

Last Name

WAGNER

Business Name

MARY KATHLEEN WAGNER

Original Issue Date

08/07/2007

Effective Date

03/22/2010

Expiration Date

05/31/2012

City

ENGLEWOOD

State

Zip

80111

County

COLORADO

Ever Disciplined

LastModifiedDate

07/10/2012