MACKENZIE WAGENBACH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041435171

License Status

NOT RENEWED

Business

First Name

MACKENZIE

Last Name

WAGENBACH

Business Name

MACKENZIE WAGENBACH

Original Issue Date

09/15/2015

Effective Date

09/15/2015

Expiration Date

05/31/2016

City

TREMONT

State

Zip

61568

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/11/2016