SAMANTHA ELIZABETH WAGNER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041395570

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

ELIZABETH

Last Name

WAGNER

Business Name

SAMANTHA ELIZABETH WAGNER

Original Issue Date

08/17/2011

Effective Date

03/12/2024

Expiration Date

05/31/2026

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/01/2026