DUANE EDWARD WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041319790

License Status

NOT RENEWED

Business

First Name

DUANE

Middle

EDWARD

Last Name

WAGNER

Business Name

DUANE EDWARD WAGNER

Original Issue Date

06/12/2000

Effective Date

05/20/2008

Expiration Date

05/31/2010

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

08/16/2010