KELLY M WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041353130

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

WAGNER

Business Name

KELLY M WAGNER

Original Issue Date

07/03/2006

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

GALLATIN

State

Zip

37066

County

KENDALL

Ever Disciplined

LastModifiedDate

01/14/2021