SUSAN A WAGNER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041245717

License Status

ACTIVE

Business

First Name

SUSAN A

Last Name

WAGNER

Business Name

SUSAN A WAGNER

Original Issue Date

10/09/1987

Effective Date

05/29/2024

Expiration Date

05/31/2026

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

02/28/2026