ROSE M WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013061

License Status

NOT RENEWED

Business

First Name

ROSE M

Last Name

WAGNER

Business Name

ROSE M WAGNER

Original Issue Date

12/17/1964

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005