SR M JACQUELINE WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041125232

License Status

NOT RENEWED

Business

First Name

SR M JACQUELINE

Last Name

WAGNER

Business Name

SR M JACQUELINE WAGNER

Original Issue Date

03/01/1968

Effective Date

06/22/2022

Expiration Date

06/30/2024

City

DAVENPORT

State

Zip

52807

County

IOWA

Ever Disciplined

LastModifiedDate

02/05/2025