AUTUMN A WAGNER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041571119

License Status

ACTIVE

Business

First Name

AUTUMN

Middle

Last Name

WAGNER

Business Name

AUTUMN A WAGNER

Original Issue Date

08/08/2024

Effective Date

08/08/2024

Expiration Date

05/31/2026

City

MORTON

State

Zip

61550

Ever Disciplined

LastModifiedDate

03/01/2026