AUDREY I WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043019662

License Status

NOT RENEWED

Business

First Name

AUDREY I

Last Name

WAGNER

Business Name

AUDREY I WAGNER

Original Issue Date

06/06/1967

Expiration Date

01/31/1999

City

CARY

State

Zip

60013

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/27/2005