BARBARA S WAGNER Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004532

License Status

INACTIVE

Business

First Name

BARBARA S

Last Name

WAGNER

Business Name

BARBARA S WAGNER

Original Issue Date

08/26/1993

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

09/02/2009