PATRICIA C WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041052619

License Status

NOT RENEWED

Business

First Name

PATRICIA C

Last Name

WAGNER

Business Name

PATRICIA C WAGNER

Original Issue Date

01/03/1946

Effective Date

01/03/1946

Expiration Date

05/31/1998

City

LAKE GENEVA

State

Zip

53147

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006