MARY L WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043058593

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

WAGNER

Business Name

MARY L WAGNER

Original Issue Date

12/27/1983

Expiration Date

01/31/1987

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005