JESSICA LEIGH WAGNER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209024574

License Status

INACTIVE

Business

First Name

JESSICA

Middle

LEIGH

Last Name

WAGNER

Business Name

JESSICA LEIGH WAGNER

Original Issue Date

12/17/2021

Effective Date

03/21/2024

Expiration Date

05/31/2026

City

SAINT JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/05/2026