DIANNA F WAGEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043109577

License Status

NOT RENEWED

Business

First Name

DIANNA

Middle

Last Name

WAGEN

Business Name

DIANNA F WAGEN

Original Issue Date

12/28/2009

Effective Date

12/28/2009

Expiration Date

01/31/2011

City

ZEIGLER

State

Zip

62999

County

FRANKLIN

Ever Disciplined

LastModifiedDate

03/10/2011