SALLY K WAGNER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041096178

License Status

INACTIVE

Business

First Name

SALLY K

Last Name

WAGNER

Business Name

SALLY K WAGNER

Original Issue Date

04/01/1960

Effective Date

03/21/2012

Expiration Date

05/31/2014

City

DOWNS

State

Zip

61736

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/06/2014