KELLEY WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041245577

License Status

NOT RENEWED

Business

First Name

KELLEY

Last Name

WAGNER

Business Name

KELLEY WAGNER

Original Issue Date

10/02/1987

Effective Date

06/02/2020

Expiration Date

08/31/2022

City

PRINCEVILLE

State

Zip

61559

County

STARK

Ever Disciplined

LastModifiedDate

10/14/2022