MELBA T VANWAGONER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041193558

License Status

INACTIVE

Business

First Name

MELBA T

Last Name

VANWAGONER

Business Name

MELBA T VANWAGONER

Original Issue Date

10/19/1979

Effective Date

10/19/1979

Expiration Date

05/31/2002

City

ANN ARBOR

State

Zip

48104

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/09/2006