ERIC D WAGNER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041390576

License Status

ACTIVE

Business

First Name

ERIC

Middle

Last Name

WAGNER

Business Name

ERIC D WAGNER

Original Issue Date

02/17/2011

Effective Date

05/07/2024

Expiration Date

05/31/2026

City

CARBONDALE

State

Zip

62901

County

WILL

Ever Disciplined

LastModifiedDate

02/28/2026