PEGGY ANITA WAGENBLATT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043082348

License Status

NOT RENEWED

Business

First Name

PEGGY

Middle

ANITA

Last Name

WAGENBLATT

Business Name

PEGGY ANITA WAGENBLATT

Original Issue Date

05/22/1998

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/15/2005