CYNTHIA T WAGNER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041275225

License Status

INACTIVE

Business

First Name

CYNTHIA T

Last Name

WAGNER

Business Name

CYNTHIA T WAGNER

Original Issue Date

09/15/1993

Effective Date

05/14/2018

Expiration Date

09/30/2020

City

MAKANDA

State

Zip

62958

County

JACKSON

Ever Disciplined

LastModifiedDate

03/08/2020