CAROLYN E WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041339966

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

Last Name

WAGNER

Business Name

CAROLYN E WAGNER

Original Issue Date

05/21/2004

Effective Date

05/21/2004

Expiration Date

05/31/2006

City

OSHKOSH

State

Zip

54901

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006