Secretary of State
Board of Nursing
VICKI LYNN WAGNER
Nursing - Licensed Practical Nurse
License number
PN5165741
Date granted
12/30/2004
Date expires
07/31/2017
Class
Nursing - Licensed Practical Nurse
Status
Active
Address
1912 DAIRY RD WEST MELBOURNE,FL32904 UNITED STATES
nursingflorida.org
ID 32034462
LAST UPDATED 2026-07-16 11:53:24 UTC
LAST UPDATED 2026-07-16 11:53:24 UTC
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