TANYA A WAGNER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****39

License Status

ACTIVE

Business

First Name

TANYA

Middle

Last Name

WAGNER

Business Name

TANYA A WAGNER

Original Issue Date

04/17/2024

Effective Date

04/17/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60619

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026