DEBRA LYNNE WAGGLE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****90

License Status

INACTIVE

Business

First Name

DEBRA

Middle

LYNNE

Last Name

WAGGLE

Business Name

DEBRA LYNNE WAGGLE

Original Issue Date

07/29/2008

Effective Date

04/09/2020

Expiration Date

08/31/2022

City

OLNEY

State

Zip

62450

County

RICHLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/09/2022