STEPHANIE C WAGONER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078554

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

WAGONER

Business Name

STEPHANIE C WAGONER

Original Issue Date

11/14/1995

Effective Date

02/22/1999

Expiration Date

01/31/1999

City

BROWNSTOWN

State

Zip

62418

County

FAYETTE

Ever Disciplined

LastModifiedDate

05/27/2005