EILEEN WAGNER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041071842

License Status

INACTIVE

Business

First Name

EILEEN

Last Name

WAGNER

Business Name

EILEEN WAGNER

Original Issue Date

04/01/1952

Effective Date

04/01/1952

Expiration Date

05/31/1988

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Ever Disciplined

LastModifiedDate

09/27/2006