Lisa Carroll Wagner
ExpiredIllinois license 041199644
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041199644
- Status
- Expired (Not Renewed)
- First issued
- November 17, 1980
- Expired
- June 30, 2024
- License holder
- Lisa Carroll Wagner
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 05/17/2022
Contact
Belleville, IL 62223