SHANNON M WAGNER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041407574

License Status

ACTIVE

Business

First Name

SHANNON

Middle

Last Name

WAGNER

Business Name

SHANNON M WAGNER

Original Issue Date

12/17/2012

Effective Date

05/29/2024

Expiration Date

05/31/2026

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

02/28/2026