LEE R HAGEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041270533

License Status

NOT RENEWED

Business

First Name

LEE R

Last Name

HAGEN

Business Name

LEE R HAGEN

Original Issue Date

09/29/1992

Effective Date

05/05/2014

Expiration Date

05/31/2016

City

AVOCA

State

Zip

53506

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/11/2016