MARTHA G WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041070196

License Status

NOT RENEWED

Business

First Name

MARTHA G

Last Name

WAGNER

Business Name

MARTHA G WAGNER

Original Issue Date

11/05/1951

Effective Date

11/05/1951

Expiration Date

05/31/1994

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

09/27/2006