LOTTIE WAGNER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043037022

License Status

INACTIVE

Business

First Name

LOTTIE

Last Name

WAGNER

Business Name

LOTTIE WAGNER

Original Issue Date

05/05/1975

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005