SUSAN N WAGNER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006168

License Status

NOT RENEWED

Business

First Name

SUSAN N

Last Name

WAGNER

Business Name

SUSAN N WAGNER

Original Issue Date

08/16/2006

Effective Date

04/14/2010

Expiration Date

05/31/2012

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012