SALLY S WAGONER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041201480

License Status

NOT RENEWED

Business

First Name

SALLY S

Last Name

WAGONER

Business Name

SALLY S WAGONER

Original Issue Date

05/19/1981

Effective Date

03/26/2012

Expiration Date

05/31/2014

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2014