KAY ANNE B WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090339

License Status

NOT RENEWED

Business

First Name

KAY ANNE

Middle

Last Name

WAGNER

Business Name

KAY ANNE B WAGNER

Original Issue Date

09/28/2004

Effective Date

02/01/2005

Expiration Date

01/31/2007

City

DIX

State

Zip

62830

Ever Disciplined

LastModifiedDate

03/16/2007