MARY S WAGNER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041045913

License Status

INACTIVE

Business

First Name

MARY S

Last Name

WAGNER

Business Name

MARY S WAGNER

Original Issue Date

01/25/1943

Effective Date

01/25/1943

Expiration Date

05/31/1986

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/27/2006