KATHY JEAN WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041150971

License Status

NOT RENEWED

Business

First Name

KATHY JEAN

Last Name

WAGNER

Business Name

KATHY JEAN WAGNER

Original Issue Date

10/03/1973

Effective Date

10/03/1973

Expiration Date

05/31/2008

City

INVERNESS

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2008