NICKOLAS G WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041305266

License Status

NOT RENEWED

Business

First Name

NICKOLAS

Middle

Last Name

WAGNER

Business Name

NICKOLAS G WAGNER

Original Issue Date

08/25/1997

Effective Date

08/25/1997

Expiration Date

05/31/2002

City

GENESEO

State

Zip

61254

County

HENRY

Ever Disciplined

LastModifiedDate

10/09/2006