ROSA D WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041296316

License Status

NOT RENEWED

Business

First Name

ROSA D

Last Name

WAGNER

Business Name

ROSA D WAGNER

Original Issue Date

04/09/1996

Effective Date

04/09/1996

Expiration Date

05/31/1998

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006