LYDIA A WAGONER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041338804

License Status

ACTIVE

Business

First Name

LYDIA

Middle

Last Name

WAGONER

Business Name

LYDIA A WAGONER

Original Issue Date

01/21/2004

Effective Date

03/24/2026

Expiration Date

05/31/2028

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

03/24/2026