PAULA LEE WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079292

License Status

NOT RENEWED

Business

First Name

PAULA LEE

Last Name

WAGNER

Business Name

PAULA LEE WAGNER

Original Issue Date

05/29/1996

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/15/2005