License holder summary

STACEY WAGNER is a Registered Nurse licensed to practice in Connecticut. The address on file for STACEY WAGNER is 85 OLD TOWN RD UNIT 44, Tolland, VERNON ROCKVILLE, CT, 06066-2360. This nurse license is current. The license was granted 06/28/2011 and expired on 02/28/2015.

Department of Public Health

Board of Nursing

STACEY WAGNER
Registered Nurse
License number
100392
Date granted
06/28/2011
Date expires
02/28/2015
Class
Registered Nurse
Status
Active
Address
85 OLD TOWN RD UNIT 44, Tolland, VERNON ROCKVILLE, CT, 06066-2360
nursingct.org
ID 4384942
LAST UPDATED 2021-07-16 18:03:46 UTC

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