NICOLE RENEE WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041356216

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

RENEE

Last Name

WAGNER

Business Name

NICOLE RENEE WAGNER

Original Issue Date

10/04/2006

Effective Date

10/04/2006

Expiration Date

05/31/2008

City

AUGUSTA

State

Zip

49012

County

MICHIGAN

Ever Disciplined

LastModifiedDate

07/11/2008