ELIZABETH M WAGNER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

WAGNER

Business Name

ELIZABETH M WAGNER

Original Issue Date

11/14/2002

Effective Date

03/22/2016

Expiration Date

05/31/2018

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018