Patty K Wagner
InactiveIllinois license 041217122
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041217122
- Status
- Inactive
- First issued
- October 11, 1983
- Expired
- May 31, 1988
- License holder
- Patty K Wagner
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 10/11/1983
Contact
Sheridan, WY 82801
Wyoming County