NICOLE B WAGNER Registered Nurse License verification

NICOLE B WAGNER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041432909

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

WAGNER

Business Name

NICOLE B WAGNER

Original Issue Date

07/24/2015

Effective Date

05/31/2018

Expiration Date

09/30/2020

City

MASON

State

Zip

62443

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/27/2021

Case Number

2018002391

Action

Refuse To Renew

Discipline Start Date

10/25/2021

Discipline Reason

registered professional nurse license placed in refuse to renew status for practicing beyond the scope of employment and failing to report her termination.