THERESA M WAGNER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041213631

License Status

INACTIVE

Business

First Name

THERESA M

Last Name

WAGNER

Business Name

THERESA M WAGNER

Original Issue Date

11/04/1982

Effective Date

03/24/2014

Expiration Date

05/31/2016

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

03/16/2016