ALEXANDRIA P WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043120836

License Status

NOT RENEWED

Business

First Name

ALEXANDRIA

Middle

Last Name

WAGNER

Business Name

ALEXANDRIA P WAGNER

Original Issue Date

06/17/2015

Effective Date

01/31/2017

Expiration Date

01/31/2019

City

MARISSA

State

Zip

62257

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/28/2019