License holder summary

KELLI RIVARD WAGNER is a Practical Nurse licensed to practice in Pennsylvania. The address on file for KELLI RIVARD WAGNER is TITUSVILLE PA 16354. This licensed professional license is not current. The license was granted 06/18/1993 and expired on 06/30/2006.

Pennsylvania

Department of State

KELLI RIVARD WAGNER
Practical Nurse
License number
PN105986L
Date granted
06/18/1993
Date expires
06/30/2006
Class
Practical Nurse
Status
Expired
Address
TITUSVILLE PA 16354
palicensing.org
ID 37902875
LAST UPDATED 2024-03-11 13:04:06 UTC

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