PAULA J WAGENBACH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041199822

License Status

NOT RENEWED

Business

First Name

PAULA J

Last Name

WAGENBACH

Business Name

PAULA J WAGENBACH

Original Issue Date

11/17/1980

Effective Date

04/26/2016

Expiration Date

05/31/2018

City

TREMONT

State

Zip

61568

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/19/2018