RICHARD T WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043081100

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

WAGNER

Business Name

RICHARD T WAGNER

Original Issue Date

08/13/1997

Effective Date

12/19/2022

Expiration Date

02/28/2025

City

CHESTER

State

Zip

62233

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/08/2025