MADELINE M WAGNER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209028193

License Status

ACTIVE

Business

First Name

MADELINE

Middle

Last Name

WAGNER

Business Name

MADELINE M WAGNER

Original Issue Date

08/30/2023

Effective Date

03/13/2026

Expiration Date

05/31/2028

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/13/2026