License Directory

Jennifer L Wagner

Expired

California license 504996

License

Licensed by
California Board of Registered Nursing
License number
504996
Status
Expired (Delinquent)
First issued
September 30, 1994
Expired
May 31, 2020
License holder
Jennifer L Wagner
Entity type
Individual

Classifications

More from the license record

License type code
4001

Contact

6276 S Basalt Trail Pl
Boise, ID 83716-7028
Ada County