CYNTHIA A WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043037338

License Status

NOT RENEWED

Business

First Name

CYNTHIA A

Last Name

WAGNER

Business Name

CYNTHIA A WAGNER

Original Issue Date

06/10/1975

Effective Date

12/29/2010

Expiration Date

01/31/2013

City

EAST GALESBURG

State

Zip

61430

County

KNOX

Ever Disciplined

LastModifiedDate

03/20/2013