KRISTINA NICOLE WAGGONER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012659

License Status

ACTIVE

Business

First Name

KRISTINA

Middle

NICOLE

Last Name

WAGGONER

Business Name

KRISTINA NICOLE WAGGONER

Original Issue Date

03/12/2015

Effective Date

05/03/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/02/2026