NANCY A WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041108710

License Status

NOT RENEWED

Business

First Name

NANCY A

Last Name

WAGNER

Business Name

NANCY A WAGNER

Original Issue Date

12/06/1963

Effective Date

04/23/2010

Expiration Date

05/31/2012

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/10/2012