ANN L WAGAMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041329243

License Status

NOT RENEWED

Business

First Name

ANN

Middle

Last Name

WAGAMAN

Business Name

ANN L WAGAMAN

Original Issue Date

04/01/2002

Effective Date

04/01/2002

Expiration Date

05/31/2004

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006