JONATHAN A WAGNER - Registered Nurse License in Illinois | # 043123379

JONATHAN A WAGNER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043123379

License Status

NOT RENEWED

Business

N

First Name

JONATHAN

Middle

A

Last Name

WAGNER

Business Name

JONATHAN A WAGNER

Original Issue Date

11/07/2016

Effective Date

11/07/2016

Expiration Date

01/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/28/2019