STEPHANIE V WAGONER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041064012

License Status

NOT RENEWED

Business

First Name

STEPHANIE V

Last Name

WAGONER

Business Name

STEPHANIE V WAGONER

Original Issue Date

04/04/1949

Effective Date

04/04/1949

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/27/2006