SALLY S WAGONER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043041026

License Status

NOT RENEWED

Business

First Name

SALLY S

Last Name

WAGONER

Business Name

SALLY S WAGONER

Original Issue Date

02/02/1977

City

SAUK VILLAGE

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005