NICHOLAS A WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043123294

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

WAGNER

Business Name

NICHOLAS A WAGNER

Original Issue Date

10/20/2016

Effective Date

01/12/2017

Expiration Date

01/31/2019

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

03/28/2019