ELLEN WAGNER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012203

License Status

ACTIVE

Business

First Name

ELLEN

Last Name

WAGNER

Business Name

ELLEN WAGNER

Original Issue Date

11/13/2014

Effective Date

06/11/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026