PEGGY L WAGNER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****10

License Status

NOT RENEWED

Business

First Name

PEGGY L

Last Name

WAGNER

Business Name

PEGGY L WAGNER

Original Issue Date

03/10/2005

Effective Date

04/19/2018

Expiration Date

09/30/2020

City

BAILEYVILLE

State

Zip

61007

County

OGLE

Ever Disciplined

LastModifiedDate

01/14/2021