JACOB DANIEL WENGERT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023063

License Status

ACTIVE

Business

First Name

JACOB

Middle

DANIEL

Last Name

WENGERT

Business Name

JACOB DANIEL WENGERT

Original Issue Date

03/23/2021

Effective Date

05/13/2024

Expiration Date

05/31/2026

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

03/02/2026