TINA KATHERINE WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043082163

License Status

NOT RENEWED

Business

First Name

TINA

Middle

KATHERINE

Last Name

WAGNER

Business Name

TINA KATHERINE WAGNER

Original Issue Date

03/26/1998

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

LIBERTY

State

Zip

62347

County

ADAMS

Ever Disciplined

LastModifiedDate

10/15/2005