NATHAN JARED AGEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041474472

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

JARED

Last Name

AGEN

Business Name

NATHAN JARED AGEN

Original Issue Date

01/31/2019

Effective Date

09/08/2020

Expiration Date

08/31/2022

City

BLACK CREEK

State

Zip

54106

Ever Disciplined

LastModifiedDate

10/14/2022