JUDITH A WAGONER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012297

License Status

NOT RENEWED

Business

First Name

JUDITH A

Last Name

WAGONER

Business Name

JUDITH A WAGONER

Original Issue Date

06/29/1964

Effective Date

02/03/2015

Expiration Date

01/31/2017

City

FOREST LAKE

State

Zip

55025

County

MINNESOTA

Ever Disciplined

LastModifiedDate

03/27/2017