MAUDIE M WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010242

License Status

NOT RENEWED

Business

First Name

MAUDIE M

Last Name

WAGNER

Business Name

MAUDIE M WAGNER

Original Issue Date

04/02/1962

Effective Date

01/02/2019

Expiration Date

01/31/2021

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

03/11/2021