SALLY S WAGONER - Registered Nurse License in Illinois | # 043041026

SALLY S WAGONER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043041026

License Status

NOT RENEWED

Business

N

First Name

SALLY S

Last Name

WAGONER

Business Name

SALLY S WAGONER

Original Issue Date

02/02/1977

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005