JENNY M WAGNER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013545

License Status

ACTIVE

Business

First Name

JENNY

Middle

Last Name

WAGNER

Business Name

JENNY M WAGNER

Original Issue Date

11/04/2015

Effective Date

05/01/2024

Expiration Date

05/31/2026

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

03/02/2026