JILL LOUISE WAGENBACH - Advanced Practice Nurse License in Illinois | # 209030316

JILL LOUISE WAGENBACH

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209030316

License Status

ACTIVE

Business

N

First Name

JILL

Middle

LOUISE

Last Name

WAGENBACH

Business Name

JILL LOUISE WAGENBACH

BusinessDBA

JILL WAGENBACH

Original Issue Date

08/19/2024

Effective Date

04/03/2026

Expiration Date

05/31/2028

State

IL

Ever Disciplined

N

LastModifiedDate

04/03/2026