NANCY R VAN WAGENEN
Nursing at Illinois St, South Bend, IN

License number
Florida 2226432
Issued Date
Apr 15, 1991
Effective Date
May 15, 2017
Expiration Date
Apr 30, 2017
Category
Health Care
Type
Registered Nurse
Address
Address 2
817 S Illinois St, South Bend, IN 46619
66040 Baker Rd, Pinellas Park, FL 33782
Phone
(510) 206-4772