KENNETH JAMES WAGMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041487273

License Status

INACTIVE

Business

First Name

KENNETH

Middle

JAMES

Last Name

WAGMAN

Business Name

KENNETH JAMES WAGMAN

Original Issue Date

10/26/2019

Effective Date

08/12/2022

Expiration Date

05/31/2024

City

JANESVILLE

State

Zip

53546

Ever Disciplined

LastModifiedDate

03/20/2024