PATRICIA WAGNER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043053041

License Status

INACTIVE

Business

First Name

PATRICIA

Last Name

WAGNER

Business Name

PATRICIA WAGNER

Original Issue Date

01/13/1982

Effective Date

11/30/2004

Expiration Date

01/31/2005

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005