CONNIE SUE WAGNER - Registered Nurse License in Illinois | # 043026049

CONNIE SUE WAGNER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043026049

License Status

NOT RENEWED

Business

N

First Name

CONNIE

Middle

SUE

Last Name

WAGNER

Business Name

CONNIE SUE WAGNER

Original Issue Date

02/02/1970

Expiration Date

01/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

05/27/2005