BRIDGET NORA WAGNER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****26

License Status

ACTIVE

Business

First Name

BRIDGET

Middle

NORA

Last Name

WAGNER

Business Name

BRIDGET NORA WAGNER

Original Issue Date

07/12/2024

Effective Date

02/17/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60637

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/17/2026