DEANNA LEE WAGNER - Registered Nurse License in Illinois | # 043014549

DEANNA LEE WAGNER

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043014549

License Status

INACTIVE

Business

N

First Name

DEANNA LEE

Last Name

WAGNER

Business Name

DEANNA LEE WAGNER

Original Issue Date

02/02/1966

Effective Date

11/17/2014

Expiration Date

01/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

11/10/2016