DARA M WAGNER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209020976

License Status

ACTIVE

Business

First Name

DARA

Middle

Last Name

WAGNER

Business Name

DARA M WAGNER

Original Issue Date

02/28/2020

Effective Date

03/06/2024

Expiration Date

05/31/2026

City

ELMWOOD

State

Zip

61529

County

PEORIA

Ever Disciplined

LastModifiedDate

03/02/2026