LISA CARROLL WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041199644

License Status

NOT RENEWED

Business

First Name

LISA CARROLL

Last Name

WAGNER

Business Name

LISA CARROLL WAGNER

Original Issue Date

11/17/1980

Effective Date

05/17/2022

Expiration Date

06/30/2024

City

BELLEVILLE

State

Zip

62223

Ever Disciplined

LastModifiedDate

02/05/2025