SUSAN M WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043121564

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

WAGNER

Business Name

SUSAN M WAGNER

Original Issue Date

10/01/2015

Effective Date

11/08/2020

Expiration Date

01/31/2023

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

03/31/2023