SUSAN M WAGNER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041513186

License Status

ACTIVE

Business

First Name

SUSAN

Middle

Last Name

WAGNER

Business Name

SUSAN M WAGNER

Original Issue Date

07/29/2021

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

FREEPORT

State

Zip

61032

Ever Disciplined

LastModifiedDate

03/03/2026