BILLY E WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043054259

License Status

NOT RENEWED

Business

First Name

BILLY E

Last Name

WAGNER

Business Name

BILLY E WAGNER

Original Issue Date

07/27/1982

Expiration Date

01/31/1985

City

VIRDEN

State

Zip

62690

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/21/2005