STEPHANIE C WAGONER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041307234

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

WAGONER

Business Name

STEPHANIE C WAGONER

Original Issue Date

12/13/1997

Effective Date

06/01/2012

Expiration Date

05/31/2014

City

BROWNSTOWN

State

Zip

62418

County

FAYETTE

Ever Disciplined

LastModifiedDate

06/04/2020