NICOLE I WAGNER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004749

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

WAGNER

Business Name

NICOLE I WAGNER

Original Issue Date

07/15/2003

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

03/03/2026