DAWN M LANE WAGNER Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005786

License Status

ACTIVE

Business

First Name

DAWN

Middle

Last Name

LANE WAGNER

Business Name

DAWN M LANE WAGNER

Original Issue Date

05/04/2000

Effective Date

11/26/2025

Expiration Date

11/30/2027

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/26/2025