EDITH S WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041020100

License Status

NOT RENEWED

Business

First Name

EDITH S

Last Name

WAGNER

Business Name

EDITH S WAGNER

Original Issue Date

07/11/1930

Effective Date

07/11/1930

City

WAUKEGAN

State

County

CLARK

Ever Disciplined

LastModifiedDate

09/27/2006