SHERON A WAGNER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****27

License Status

NOT RENEWED

Business

First Name

SHERON

Middle

Last Name

WAGNER

Business Name

SHERON A WAGNER

Original Issue Date

07/27/2011

Effective Date

07/27/2011

Expiration Date

05/31/2012

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/10/2012