JENNIFER J WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043084049

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

WAGNER

Business Name

JENNIFER J WAGNER

Original Issue Date

09/28/1999

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/21/2005