SUSAN ROULLO WAGNER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043114723

License Status

ACTIVE

Business

First Name

SUSAN

Middle

ROULLO

Last Name

WAGNER

Business Name

SUSAN ROULLO WAGNER

Original Issue Date

05/02/2012

Effective Date

01/17/2025

Expiration Date

01/31/2027

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

01/17/2025