REBECCA S WANGARD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****22

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

Last Name

WANGARD

Business Name

REBECCA S WANGARD

Original Issue Date

08/13/2008

Effective Date

03/01/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021