PATRICIA J WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041111041

License Status

NOT RENEWED

Business

First Name

PATRICIA J

Last Name

WAGNER

Business Name

PATRICIA J WAGNER

Original Issue Date

10/09/1964

Effective Date

05/22/2014

Expiration Date

05/31/2016

City

UTICA

State

Zip

61373

County

LA SALLE

Ever Disciplined

LastModifiedDate

07/11/2016