ALIDA D WAGNER - Advanced Practice Nurse License in Illinois | # 209006327

ALIDA D WAGNER

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006327

License Status

NOT RENEWED

Business

N

First Name

ALIDA

Middle

D

Last Name

WAGNER

Business Name

ALIDA D WAGNER

Original Issue Date

11/17/2006

Effective Date

04/17/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021