BRENDA L WAGER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

ACTIVE

Business

First Name

BRENDA L

Last Name

WAGER

Business Name

BRENDA L WAGER

Original Issue Date

08/16/2016

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

KEWANEE

State

Zip

61443

County

HENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2026