KRISTEN A WAGENER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041362438

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

Last Name

WAGENER

Business Name

KRISTEN A WAGENER

Original Issue Date

08/15/2007

Effective Date

05/24/2016

Expiration Date

05/31/2018

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/19/2018