TANYA A WAGNER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209028368

License Status

ACTIVE

Business

First Name

TANYA

Middle

Last Name

WAGNER

Business Name

TANYA A WAGNER

Original Issue Date

10/02/2023

Effective Date

03/10/2024

Expiration Date

05/31/2026

City

SOUTH HOLLAND

State

Zip

60473

Ever Disciplined

LastModifiedDate

03/02/2026