ERIC D WAGNER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209016825

License Status

ACTIVE

Business

First Name

ERIC

Middle

Last Name

WAGNER

Business Name

ERIC D WAGNER

Original Issue Date

10/27/2017

Effective Date

05/07/2024

Expiration Date

05/31/2026

City

CARBONDALE

State

Zip

62901

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/02/2026