DEBORAH LYNN WAGNER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041188739

License Status

INACTIVE

Business

First Name

DEBORAH

Middle

LYNN

Last Name

WAGNER

Business Name

DEBORAH LYNN WAGNER

Original Issue Date

07/13/1979

Effective Date

05/04/2018

Expiration Date

09/30/2020

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/08/2020