DAWN M WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041309648

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

Last Name

WAGNER

Business Name

DAWN M WAGNER

Original Issue Date

07/21/1998

Effective Date

07/21/1998

Expiration Date

05/31/2002

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/09/2006