MICHELLE R WAGNER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041298265

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

Last Name

WAGNER

Business Name

MICHELLE R WAGNER

Original Issue Date

08/01/1996

Effective Date

03/14/2024

Expiration Date

05/31/2026

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

02/28/2026