SUE E WAGNER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041176428

License Status

INACTIVE

Business

First Name

SUE E

Last Name

WAGNER

Business Name

SUE E WAGNER

Original Issue Date

10/12/1977

Effective Date

03/15/2010

Expiration Date

05/31/2012

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

03/08/2012