JEAN M WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041069850

License Status

NOT RENEWED

Business

First Name

JEAN M

Last Name

WAGNER

Business Name

JEAN M WAGNER

Original Issue Date

07/03/1951

Effective Date

03/29/2010

Expiration Date

05/31/2012

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/10/2012