MARILYN J WAGNER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012476

License Status

INACTIVE

Business

First Name

MARILYN J

Last Name

WAGNER

Business Name

MARILYN J WAGNER

Original Issue Date

06/29/1964

City

POLO

State

Zip

61064

County

OGLE

Ever Disciplined

LastModifiedDate

10/21/2005