DELORES B WAGSTAFF Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041090766

License Status

INACTIVE

Business

First Name

DELORES B

Last Name

WAGSTAFF

Business Name

DELORES B WAGSTAFF

Original Issue Date

09/03/1958

Effective Date

09/03/1958

Expiration Date

05/31/2004

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/09/2006