Michael C Wagner II
InactiveIllinois license 30*****61
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 30*****61
- Status
- Inactive
- First issued
- September 20, 2001
- Expired
- September 30, 2020
- License holder
- Michael C Wagner II
- Entity type
- Individual
Classifications
- Adv Practice Nurse Control Sub Nursing
More from the license record
- Delegated controlled substance schedules
- II III IV V
- Current term began
- 03/13/2018
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Contact
Danville, IL 61832
Vermilion County