DEBRA J BAGWELL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046397

License Status

NOT RENEWED

Business

First Name

DEBRA

Middle

Last Name

BAGWELL

Business Name

DEBRA J BAGWELL

Original Issue Date

01/26/1979

Effective Date

10/18/2005

Expiration Date

01/31/2007

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/28/2008