MARY ANNE WAGONER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041242654

License Status

INACTIVE

Business

First Name

MARY ANNE

Last Name

WAGONER

Business Name

MARY ANNE WAGONER

Original Issue Date

08/29/1987

Effective Date

08/29/1987

Expiration Date

05/31/2008

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

03/11/2008