ALAN D WAGNER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209002677

License Status

INACTIVE

Business

First Name

ALAN D

Last Name

WAGNER

Business Name

ALAN D WAGNER

Original Issue Date

07/09/2001

Effective Date

07/21/2020

Expiration Date

08/31/2022

City

MAKANDA

State

Zip

62958

County

JACKSON

Ever Disciplined

LastModifiedDate

08/19/2022