KENNETH B WAGAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043109834

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

WAGAN

Business Name

KENNETH B WAGAN

BusinessDBA

WAGAN

Original Issue Date

02/16/2010

Effective Date

06/14/2011

Expiration Date

01/31/2013

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/20/2013