MARY B WAGEMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041102579

License Status

INACTIVE

Business

First Name

MARY B

Last Name

WAGEMAN

Business Name

MARY B WAGEMAN

Original Issue Date

04/02/1962

Effective Date

04/02/1962

Expiration Date

05/31/2008

City

HANNA CITY

State

Zip

61536

County

PEORIA

Ever Disciplined

LastModifiedDate

03/11/2008