CASEY M WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043110685

License Status

NOT RENEWED

Business

First Name

CASEY

Middle

Last Name

WAGNER

Business Name

CASEY M WAGNER

Original Issue Date

08/02/2010

Effective Date

01/15/2019

Expiration Date

01/31/2021

City

PRINCETON

State

Zip

61356

Ever Disciplined

LastModifiedDate

03/11/2021