REBECCA S WANGARD Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

INACTIVE

Business

First Name

REBECCA

Middle

Last Name

WANGARD

Business Name

REBECCA S WANGARD

Original Issue Date

04/01/2015

Effective Date

04/23/2020

Expiration Date

05/31/2022

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/23/2020