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*****32

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

Last Name

WANGARD

Business Name

REBECCA S WANGARD

Original Issue Date

01/07/2020

Effective Date

01/07/2020

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021