STEPHEN W WAGNER JR Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041169631

License Status

INACTIVE

Business

First Name

STEPHEN

Middle

Last Name

WAGNER

Suffix

Business Name

STEPHEN W WAGNER JR

Original Issue Date

11/01/1976

Effective Date

04/06/2020

Expiration Date

08/31/2022

City

LAND O LAKES

State

Zip

34639

Ever Disciplined

LastModifiedDate

05/02/2022