SHANNON M VAN WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041356606

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

VAN WAGNER

Business Name

SHANNON M VAN WAGNER

BusinessDBA

DE GRAW

Original Issue Date

10/16/2006

Effective Date

08/14/2020

Expiration Date

08/31/2022

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2022