CAROLYN WAGNER - Advanced Practice Nurse License in Illinois | # 209001389

CAROLYN WAGNER

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001389

License Status

INACTIVE

Business

N

First Name

CAROLYN

Last Name

WAGNER

Business Name

CAROLYN WAGNER

Original Issue Date

06/21/2001

Effective Date

05/06/2022

Expiration Date

05/31/2024

State

IL

Ever Disciplined

N

LastModifiedDate

03/22/2024