KRISTIN WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041345328

License Status

NOT RENEWED

Business

First Name

KRISTIN

Last Name

WAGNER

Business Name

KRISTIN WAGNER

Original Issue Date

03/23/2005

Effective Date

03/23/2005

Expiration Date

05/31/2006

City

QUINCY

State

Zip

02169

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

10/09/2006