SUSAN R WAGNER
Nursing at Vly Ln, Streamwood, IL

License number
Florida 5161155
Issued Date
Feb 17, 2004
Effective Date
Feb 17, 2004
Expiration Date
Jul 31, 2019
Category
Health Care
Type
Licensed Practical Nurse
Address
Address 2
5011 Valley Ln APT 103, Streamwood, IL 60107
800 NW Fork Rd BLDG 9 - APT 7, Stuart, FL 34994
Phone
(772) 905-7100
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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