MARYANN J WAGONER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043081287

License Status

NOT RENEWED

Business

First Name

MARYANN

Middle

Last Name

WAGONER

Business Name

MARYANN J WAGONER

Original Issue Date

09/19/1997

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

RAPIDS CITY

State

Zip

61278

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/15/2005