TERESA LYNN WAGGONER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041193354

License Status

NOT RENEWED

Business

First Name

TERESA LYNN

Last Name

WAGGONER

Business Name

TERESA LYNN WAGGONER

Original Issue Date

10/17/1979

Effective Date

04/07/2010

Expiration Date

05/31/2012

City

METAMORA

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

07/10/2012