License holder summary

MARY CLOSE WAGONER is a Certified Registered Nurse Practitioner licensed to practice in Pennsylvania. The address on file for MARY CLOSE WAGONER is Reedsville PA 17084. This licensed professional license is not current. The license was granted 05/20/1998 and expired on 04/30/2010.

Pennsylvania

Department of State

MARY CLOSE WAGONER
Certified Registered Nurse Practitioner
License number
SP005029B
Date granted
05/20/1998
Date expires
04/30/2010
Class
Certified Registered Nurse Practitioner
Status
Inactive
Address
Reedsville PA 17084
palicensing.org
ID 16670861
LAST UPDATED 2024-05-15 00:37:06 UTC

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