BENJAMIN C WAGNER - Registered Nurse License in Illinois | # 043104593

BENJAMIN C WAGNER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043104593

License Status

NOT RENEWED

Business

N

First Name

BENJAMIN

Middle

C

Last Name

WAGNER

Business Name

BENJAMIN C WAGNER

Original Issue Date

10/17/2007

Effective Date

01/30/2013

Expiration Date

01/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

03/09/2015