CONNIE SUE WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043026049

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

SUE

Last Name

WAGNER

Business Name

CONNIE SUE WAGNER

Original Issue Date

02/02/1970

Expiration Date

01/31/1999

City

GARDEN PRAIRIE

State

Zip

61038

County

BOONE

Ever Disciplined

LastModifiedDate

05/27/2005