DIANE L WAGNER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041271515

License Status

INACTIVE

Business

First Name

DIANE L

Last Name

WAGNER

Business Name

DIANE L WAGNER

Original Issue Date

10/14/1992

Effective Date

10/14/1992

Expiration Date

05/31/2006

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/09/2006