PEGGY L WAGNER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209002671

License Status

NOT RENEWED

Business

First Name

PEGGY L

Last Name

WAGNER

Business Name

PEGGY L WAGNER

Original Issue Date

07/09/2001

Effective Date

04/18/2018

Expiration Date

09/30/2020

City

BAILEYVILLE

State

Zip

61007

County

OGLE

Ever Disciplined

LastModifiedDate

01/14/2021