MARY C WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041111010

License Status

NOT RENEWED

Business

First Name

MARY C

Last Name

WAGNER

Business Name

MARY C WAGNER

Original Issue Date

10/09/1964

Effective Date

03/19/2012

Expiration Date

05/31/2014

City

SHOREWOOD

State

Zip

60404

County

WILL

Ever Disciplined

LastModifiedDate

07/03/2014