JILL D WAGNER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041185692

License Status

ACTIVE

Business

First Name

JILL D

Last Name

WAGNER

Business Name

JILL D WAGNER

Original Issue Date

10/16/1978

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

GOODFIELD

State

Zip

61742

County

WOODFORD

Ever Disciplined

LastModifiedDate

03/09/2026