ANITA GWEN T WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041203065

License Status

NOT RENEWED

Business

First Name

ANITA GWEN T

Last Name

WAGNER

Business Name

ANITA GWEN T WAGNER

Original Issue Date

05/19/1981

Effective Date

05/19/1981

Expiration Date

05/31/1986

City

LISLE

State

Zip

60532

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/27/2006