RANDEL D VAN WAGONER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041532476

License Status

ACTIVE

Business

First Name

RANDEL

Middle

Last Name

VAN WAGONER

Business Name

RANDEL D VAN WAGONER

BusinessDBA

JANDT

Original Issue Date

09/24/2022

Effective Date

06/18/2024

Expiration Date

05/31/2026

City

MAPLE PARK

State

Zip

60151

County

KANE

Ever Disciplined

LastModifiedDate

03/01/2026