BRYAN JOSEPH FAGEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041446369

License Status

NOT RENEWED

Business

First Name

BRYAN

Middle

JOSEPH

Last Name

FAGEN

Business Name

BRYAN JOSEPH FAGEN

Original Issue Date

09/16/2016

Effective Date

09/16/2016

Expiration Date

05/31/2018

City

SAINT PETERS

State

Zip

63376

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/19/2018