SAMANTHA ELIZABETH WAGNER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209018557

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

ELIZABETH

Last Name

WAGNER

Business Name

SAMANTHA ELIZABETH WAGNER

Original Issue Date

12/20/2018

Effective Date

03/12/2024

Expiration Date

05/31/2026

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/02/2026