MARY M WAGNER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041100507

License Status

INACTIVE

Business

First Name

MARY M

Last Name

WAGNER

Business Name

MARY M WAGNER

Original Issue Date

08/23/1961

Effective Date

04/23/2012

Expiration Date

05/31/2014

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

03/06/2014