MARIAN L WAGNER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041232161

License Status

INACTIVE

Business

First Name

MARIAN L

Last Name

WAGNER

Business Name

MARIAN L WAGNER

Original Issue Date

10/25/1985

Effective Date

04/19/2010

Expiration Date

05/31/2012

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

03/08/2012