SHAWNA M WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043116142

License Status

NOT RENEWED

Business

First Name

SHAWNA

Middle

Last Name

WAGNER

Business Name

SHAWNA M WAGNER

Original Issue Date

12/04/2012

Effective Date

01/20/2015

Expiration Date

01/31/2017

City

SALEM

State

Zip

53168

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/27/2017