SR M JACQUELINE WAGNER - Nursing Home Administrator License in Iowa | # 044001365

SR M JACQUELINE WAGNER

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001365

License Status

NOT RENEWED

Business

N

First Name

SR M JACQUELINE

Last Name

WAGNER

Business Name

SR M JACQUELINE WAGNER

Original Issue Date

09/25/1975

Effective Date

11/05/2015

Expiration Date

11/30/2017

State

IA

Ever Disciplined

N

LastModifiedDate

01/04/2018