DIANNE B WAGNER
Advanced Practice Nurse
Illinois 209001600 Not Renewed
This Illinois license was held by DIANNE B WAGNER. The license is no longer active. It was granted on 06/22/2001 and expired on 05/31/2004
LICENSE DETAILS
- License Number: 209001600
- Category: ADVANCED PRACTICE NURSE
- Status: Not Renewed
- Date Granted: 06/22/2001 (about 25 years ago)
- Expiry Date: 05/31/2004 (about 22 years ago)
LOCATIONS
A Address
EFFINGHAM, IL 62401