JIMMIE R WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041114315

License Status

NOT RENEWED

Business

First Name

JIMMIE R

Last Name

WAGNER

Business Name

JIMMIE R WAGNER

Original Issue Date

07/29/1965

Effective Date

07/29/1965

Expiration Date

05/31/1986

City

ORLANDO

State

Zip

32807

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/27/2006