License holder summary

KRYSTAL L WAGNER is a Advanced Practice Nurse licensed to practice in Illinois. The address on file for KRYSTAL L WAGNER is Macomb, IL 61455-2530. This nurses license is current. The license was granted 09/26/2014 and expired on 05/31/2016.

Department of Financial and Professional Regulation

Board of Nursing

KRYSTAL L WAGNER
Advanced Practice Nurse
License number
209011952
Date granted
09/26/2014
Date expires
05/31/2016
Class
Advanced Practice Nurse
Status
Active
Address
Macomb, IL 61455-2530
illinoisnursing.org
ID 23672131
LAST UPDATED 2021-06-08 15:02:36 UTC

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