License holder summary

JAMIE LYNN WAGNER is a Nurse Registered & Licensed Practical - Rn Provisional licensed to practice in Michigan. The address on file for JAMIE LYNN WAGNER is New Berlin, WI 53151. This licensed professional license is not current. The license was granted 07/15/2013 and expired on 07/15/2014.

Michigan

Department of Licensing and Regulation

JAMIE LYNN WAGNER
Nurse Registered & Licensed Practical - Rn Provisional
License number
4704300777
Date granted
07/15/2013
Date expires
07/15/2014
Class
Nurse Registered & Licensed Practical - Rn Provisional
Status
Voided
Address
New Berlin, WI 53151
michiganlicensing.org
ID 25842108
LAST UPDATED 2026-03-27 15:27:09 UTC

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