License holder summary

Ivan Scott Wagoner is a Nursing - Certified Nurse Aide licensed to practice in Colorado. The address on file for Ivan Scott Wagoner is 1101 Phay Ave., Canon City, CO, 81212-1212. This nurse license is not current. The license was granted 08/23/1991 and expired on 01/31/2008.

Department of Regulatory Agencies

Division of Professions and Occupations

Ivan Scott Wagoner
Nursing - Certified Nurse Aide
License number
157024
Date granted
08/23/1991
Date expires
01/31/2008
Class
Nursing - Certified Nurse Aide
Status
Expired
Address
1101 Phay Ave., Canon City, CO, 81212-1212
nursingcolorado.org
ID 27719863
LAST UPDATED 2024-02-14 03:14:40 UTC

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