BRIDGET NORA WAGNER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010348

License Status

ACTIVE

Business

First Name

BRIDGET

Middle

NORA

Last Name

WAGNER

Business Name

BRIDGET NORA WAGNER

Original Issue Date

02/05/2024

Effective Date

02/06/2026

Expiration Date

03/01/2028

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

02/06/2026