KELLEY WAGNER - Registered Nurse License in Illinois | # 041245577

KELLEY WAGNER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041245577

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2022