Michigan
Department of Licensing and Regulation
BRENDA LUDENE WAGNER
Nurse Registered & Licensed Practical - Rn Provisional
License number
4704291435
Date granted
05/01/2012
Date expires
05/01/2013
Class
Nurse Registered & Licensed Practical - Rn Provisional
Status
Voided
Address
Groton, CT 06340
michiganlicensing.org
ID 25842107
LAST UPDATED 2026-05-17 09:55:06 UTC
LAST UPDATED 2026-05-17 09:55:06 UTC
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