JEANINE H WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041171640

License Status

NOT RENEWED

Business

First Name

JEANINE H

Last Name

WAGNER

Business Name

JEANINE H WAGNER

Original Issue Date

11/01/1976

Effective Date

11/01/1976

Expiration Date

05/31/1998

City

FREEBURG

State

Zip

62243

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/27/2006