CAROLYN R WAGENAAR Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041097836

License Status

INACTIVE

Business

First Name

CAROLYN R

Last Name

WAGENAAR

Business Name

CAROLYN R WAGENAAR

Original Issue Date

01/01/1997

Effective Date

04/06/2010

Expiration Date

05/31/2012

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

03/08/2012