NEAL C WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043113002

License Status

NOT RENEWED

Business

First Name

NEAL

Middle

Last Name

WAGNER

Business Name

NEAL C WAGNER

Original Issue Date

08/11/2011

Effective Date

08/11/2011

Expiration Date

01/31/2013

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

03/20/2013