JONATHAN A WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043123379

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

Last Name

WAGNER

Business Name

JONATHAN A WAGNER

Original Issue Date

11/07/2016

Effective Date

11/07/2016

Expiration Date

01/31/2019

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/28/2019