LISA A WANGERIEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****67

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

WANGERIEN

Business Name

LISA A WANGERIEN

Original Issue Date

05/25/2010

Effective Date

05/17/2022

Expiration Date

06/30/2024

City

ST CHARLES

State

Zip

60174

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025