JESSICA DANIELLE WAGNER Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

INOPERATIVE

Business

First Name

JESSICA

Middle

DANIELLE

Last Name

WAGNER

Business Name

JESSICA DANIELLE WAGNER

Original Issue Date

09/17/2015

Effective Date

04/15/2016

Expiration Date

05/31/2018

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

03/01/2018