JAYME L WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041177923

License Status

NOT RENEWED

Business

First Name

JAYME L

Last Name

WAGNER

Business Name

JAYME L WAGNER

Original Issue Date

10/12/1977

Effective Date

04/21/2016

Expiration Date

05/31/2018

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

07/19/2018