LEATHA E WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041429605

License Status

NOT RENEWED

Business

First Name

LEATHA

Middle

Last Name

WAGNER

Business Name

LEATHA E WAGNER

Original Issue Date

05/06/2015

Effective Date

05/16/2016

Expiration Date

05/31/2018

City

MUSCATINE

State

Zip

52761

County

IOWA

Ever Disciplined

LastModifiedDate

07/19/2018