KRISTINA LYNN WAGNER ROSS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

ACTIVE

Business

First Name

KRISTINA

Middle

LYNN

Last Name

WAGNER ROSS

Business Name

KRISTINA LYNN WAGNER ROSS

Original Issue Date

10/09/2023

Effective Date

03/18/2026

Expiration Date

05/31/2028

City

SANDWICH

State

Zip

60548

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/18/2026