JESSE D WAGGONER Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000518

License Status

NOT RENEWED

Business

First Name

JESSE D

Last Name

WAGGONER

Business Name

JESSE D WAGGONER

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/27/2005