GRACE ELIZABETH WAGNER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021274

License Status

ACTIVE

Business

First Name

GRACE

Middle

ELIZABETH

Last Name

WAGNER

Business Name

GRACE ELIZABETH WAGNER

Original Issue Date

05/06/2020

Effective Date

03/12/2026

Expiration Date

05/31/2028

City

WAUWATOSA

State

Zip

53226

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/12/2026