EILEEN ODELIA WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041326899

License Status

NOT RENEWED

Business

First Name

EILEEN

Middle

ODELIA

Last Name

WAGNER

Business Name

EILEEN ODELIA WAGNER

Original Issue Date

09/24/2001

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

LA VALE

State

Zip

21502

County

MARYLAND

Ever Disciplined

LastModifiedDate

07/10/2012