KELLI WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041486401

License Status

NOT RENEWED

Business

First Name

KELLI

Last Name

WAGNER

Business Name

KELLI WAGNER

Original Issue Date

10/08/2019

Effective Date

03/23/2020

Expiration Date

08/31/2022

City

TAYLORS

State

Zip

29687

Ever Disciplined

LastModifiedDate

10/14/2022