ALIDA D WAGNER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006327

License Status

NOT RENEWED

Business

First Name

ALIDA

Middle

Last Name

WAGNER

Business Name

ALIDA D WAGNER

Original Issue Date

11/17/2006

Effective Date

04/17/2018

Expiration Date

09/30/2020

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021