ELISE M. WAGONER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041242527

License Status

INACTIVE

Business

First Name

ELISE

Middle

Last Name

WAGONER

Business Name

ELISE M. WAGONER

Original Issue Date

08/29/1987

Effective Date

08/29/1987

Expiration Date

05/31/2004

City

FREDONIA

State

Zip

42411

County

KENTUCKY

Ever Disciplined

LastModifiedDate

10/09/2006