DENISE WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041164167

License Status

NOT RENEWED

Business

First Name

DENISE

Last Name

WAGNER

Business Name

DENISE WAGNER

Original Issue Date

10/24/1975

Effective Date

10/24/1975

Expiration Date

05/31/1984

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/27/2006