LOIS R WAGLEY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

NOT RENEWED

Business

First Name

LOIS R

Last Name

WAGLEY

Business Name

LOIS R WAGLEY

Original Issue Date

03/07/2018

Effective Date

05/06/2022

Expiration Date

06/30/2024

City

BREMEN

State

Zip

46506

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025