ELAINE R VAN WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070066

License Status

NOT RENEWED

Business

First Name

ELAINE R

Last Name

VAN WAGNER

Business Name

ELAINE R VAN WAGNER

Original Issue Date

05/28/1991

Expiration Date

01/31/1993

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005