STEPHANIE A WAGNER Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006678

License Status

NOT RENEWED

Business

First Name

STEPHANIE A

Last Name

WAGNER

Business Name

STEPHANIE A WAGNER

Original Issue Date

05/30/2006

Effective Date

10/15/2019

Expiration Date

02/28/2022

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

07/27/2022