KAY LYNN WAGGONER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043030090

License Status

NOT RENEWED

Business

First Name

KAY LYNN

Last Name

WAGGONER

Business Name

KAY LYNN WAGGONER

Original Issue Date

12/15/1971

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005