SUSAN KAY WAGGONER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041136918

License Status

INACTIVE

Business

First Name

SUSAN KAY

Last Name

WAGGONER

Business Name

SUSAN KAY WAGGONER

Original Issue Date

10/06/1970

Effective Date

06/04/2012

Expiration Date

05/31/2014

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/06/2014