SUSAN A WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041189545

License Status

NOT RENEWED

Business

First Name

SUSAN A

Last Name

WAGNER

Business Name

SUSAN A WAGNER

Original Issue Date

10/17/1979

Effective Date

10/17/1979

Expiration Date

05/31/1994

City

GRIFFITH

State

Zip

46319

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006