NICOLE T WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043115448

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

WAGNER

Business Name

NICOLE T WAGNER

Original Issue Date

08/30/2012

Effective Date

12/19/2012

Expiration Date

01/31/2015

City

SHOREWOOD

State

Zip

60404

County

WILL

Ever Disciplined

LastModifiedDate

03/09/2015