BRANDIE L WAGONER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041323722

License Status

ACTIVE

Business

First Name

BRANDIE

Middle

Last Name

WAGONER

Business Name

BRANDIE L WAGONER

Original Issue Date

03/16/2001

Effective Date

03/15/2024

Expiration Date

05/31/2026

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

02/28/2026