STEPHANIE C WAGONER - Registered Nurse License in Illinois | # 043078554

STEPHANIE C WAGONER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078554

License Status

NOT RENEWED

Business

N

First Name

STEPHANIE

Middle

C

Last Name

WAGONER

Business Name

STEPHANIE C WAGONER

Original Issue Date

11/14/1995

Effective Date

02/22/1999

Expiration Date

01/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

05/27/2005