TRACY M WIGGENHORN Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004830

License Status

INACTIVE

Business

First Name

TRACY M

Last Name

WIGGENHORN

Business Name

TRACY M WIGGENHORN

Original Issue Date

12/28/1994

Effective Date

09/27/2001

Expiration Date

11/30/2001

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

10/11/2005