DIXIE L WAGY Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005649

License Status

INACTIVE

Business

First Name

DIXIE L

Last Name

WAGY

Business Name

DIXIE L WAGY

Original Issue Date

07/21/1999

Effective Date

12/19/2001

Expiration Date

11/30/2001

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

10/11/2005