DIANE M WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041149438

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

WAGNER

Business Name

DIANE M WAGNER

Original Issue Date

07/26/1973

Effective Date

05/06/2014

Expiration Date

05/31/2016

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

07/11/2016