KRISTINA NICOLE WAGGONER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****80

License Status

ACTIVE

Business

First Name

KRISTINA

Middle

NICOLE

Last Name

WAGGONER

Business Name

KRISTINA NICOLE WAGGONER

Original Issue Date

04/09/2015

Effective Date

05/03/2024

Expiration Date

05/31/2026

City

CHATHAM

State

Zip

62629

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026