CAROLYN WAGNER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001389

License Status

INACTIVE

Business

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

City

DECATUR IL

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

03/22/2024