ANDREA L WAGENAAR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041316862

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

WAGENAAR

Business Name

ANDREA L WAGENAAR

Original Issue Date

09/29/1999

Effective Date

09/29/1999

Expiration Date

05/31/2008

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

07/11/2008