VIVIAN C WAGNER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041140649

License Status

INACTIVE

Business

First Name

VIVIAN C

Last Name

WAGNER

Business Name

VIVIAN C WAGNER

Original Issue Date

08/30/1971

Effective Date

08/30/1971

Expiration Date

05/31/2002

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006