BRADLEY W WAGNER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041347508

License Status

ACTIVE

Business

First Name

BRADLEY

Middle

Last Name

WAGNER

Business Name

BRADLEY W WAGNER

Original Issue Date

08/09/2005

Effective Date

04/04/2024

Expiration Date

05/31/2026

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

03/01/2026