STEPHANIE A WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043048462

License Status

NOT RENEWED

Business

First Name

STEPHANIE A

Last Name

WAGNER

Business Name

STEPHANIE A WAGNER

Original Issue Date

01/07/1980

Effective Date

01/26/2021

Expiration Date

01/31/2023

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

03/31/2023