MARY L WAGNER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041091435

License Status

INACTIVE

Business

First Name

MARY L

Last Name

WAGNER

Business Name

MARY L WAGNER

Original Issue Date

11/07/1958

Effective Date

11/07/1958

City

KLAMATH FALLS

State

Zip

97601

County

OREGON

Ever Disciplined

LastModifiedDate

09/27/2006