BETTY J WAGNER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041081502

License Status

INACTIVE

Business

First Name

BETTY J

Last Name

WAGNER

Business Name

BETTY J WAGNER

Original Issue Date

08/22/1955

Effective Date

08/22/1955

Expiration Date

05/31/2004

City

O'FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/09/2006