KIM M WAGNER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041326656

License Status

ACTIVE

Business

First Name

KIM

Middle

Last Name

WAGNER

Business Name

KIM M WAGNER

Original Issue Date

09/14/2001

Effective Date

03/18/2026

Expiration Date

05/31/2028

City

ROANOKE

State

Zip

61561

County

WOODFORD

Ever Disciplined

LastModifiedDate

03/18/2026