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 2024-04-20 11:16:45 UTC
LAST UPDATED 2024-04-20 11:16:45 UTC
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