DIANE RENEE WAGNER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041526394

License Status

ACTIVE

Business

First Name

DIANE

Middle

RENEE

Last Name

WAGNER

Business Name

DIANE RENEE WAGNER

Original Issue Date

06/10/2022

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

SOUTH BELOIT

State

Zip

61080

Ever Disciplined

LastModifiedDate

03/03/2026