JAMIE LYNN WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041511151

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

LYNN

Last Name

WAGNER

Business Name

JAMIE LYNN WAGNER

Original Issue Date

07/08/2021

Effective Date

07/08/2021

Expiration Date

08/31/2022

City

PEORIA

State

Zip

61615

Ever Disciplined

LastModifiedDate

10/14/2022