SUSAN N WAGNER - Advanced Practice Nurse License in Illinois | # 209006168

SUSAN N WAGNER

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006168

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/10/2012