JESSICA LEIGH WAGNER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

INACTIVE

Business

First Name

JESSICA

Middle

LEIGH

Last Name

WAGNER

Business Name

JESSICA LEIGH WAGNER

Original Issue Date

05/23/2022

Effective Date

03/21/2024

Expiration Date

05/31/2026

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

01/05/2026