ELISABETH A WAGENECHT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041102592

License Status

INACTIVE

Business

First Name

ELISABETH A

Last Name

WAGENECHT

Business Name

ELISABETH A WAGENECHT

Original Issue Date

04/02/1962

Effective Date

04/02/1962

Expiration Date

05/31/2006

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006