HEIDI A WAGNER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014217

License Status

ACTIVE

Business

First Name

HEIDI A

Last Name

WAGNER

Business Name

HEIDI A WAGNER

Original Issue Date

04/05/2016

Effective Date

04/18/2024

Expiration Date

05/31/2026

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

03/02/2026