CHRISTINA WAGENER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****39

License Status

INACTIVE

Business

First Name

CHRISTINA

Last Name

WAGENER

Business Name

CHRISTINA WAGENER

Original Issue Date

10/25/2012

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60625

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/12/2018