MARY ANN WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041128347

License Status

NOT RENEWED

Business

First Name

MARY ANN

Last Name

WAGNER

Business Name

MARY ANN WAGNER

Original Issue Date

01/01/1997

Effective Date

05/28/2014

Expiration Date

05/31/2016

City

HERSCHER

State

Zip

60941

County

KANKAKEE

Ever Disciplined

LastModifiedDate

07/11/2016