Jeffrey David Wagner
ExpiredCalifornia license 628679
License
- Licensed by
- California Board of Registered Nursing
- License number
- 628679
- Status
- Expired (Delinquent)
- First issued
- October 30, 2003
- Expired
- October 31, 2007
- License holder
- Jeffrey David Wagner
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
3725 SE Brooklyn St
Portland, OR 97202-1824
Portland, OR 97202-1824
Multnomah County