DOROTHY WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043035554

License Status

NOT RENEWED

Business

First Name

DOROTHY

Last Name

WAGNER

Business Name

DOROTHY WAGNER

Original Issue Date

09/11/1974

Expiration Date

01/31/1989

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005