ELIZABETH M WAGNER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004391

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

WAGNER

Business Name

ELIZABETH M WAGNER

Original Issue Date

07/24/2002

Effective Date

05/30/2018

Expiration Date

09/30/2020

City

FARIBAULT

State

Zip

55021

Ever Disciplined

LastModifiedDate

01/14/2021