MARILYN J WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041141796

License Status

NOT RENEWED

Business

First Name

MARILYN J

Last Name

WAGNER

Business Name

MARILYN J WAGNER

Original Issue Date

09/29/1971

Effective Date

09/29/1971

Expiration Date

05/31/1994

City

POLO

State

Zip

61064

County

OGLE

Ever Disciplined

LastModifiedDate

09/27/2006