JUDITH A WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041112734

License Status

NOT RENEWED

Business

First Name

JUDITH A

Last Name

WAGNER

Business Name

JUDITH A WAGNER

Original Issue Date

12/21/1964

Effective Date

04/19/2010

Expiration Date

05/31/2012

City

HARVARD

State

Zip

60033

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/10/2012