MELISSIA M WAGNER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043105044

License Status

INACTIVE

Business

First Name

MELISSIA

Middle

Last Name

WAGNER

Business Name

MELISSIA M WAGNER

Original Issue Date

01/02/2008

Effective Date

01/02/2008

Expiration Date

01/31/2009

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

11/10/2008