BONNIE JEAN WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041132990

License Status

NOT RENEWED

Business

First Name

BONNIE JEAN

Last Name

WAGNER

Business Name

BONNIE JEAN WAGNER

Original Issue Date

09/16/1969

Effective Date

05/19/2010

Expiration Date

05/31/2012

City

LIVINGSTON

State

Zip

53554

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/10/2012