CAROL A WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041164387

License Status

NOT RENEWED

Business

First Name

CAROL A

Last Name

WAGNER

Business Name

CAROL A WAGNER

Original Issue Date

10/24/1975

Effective Date

10/24/1975

City

RACINE

State

Zip

53405

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006