ANNE E WAGNER Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010409

License Status

NOT RENEWED

Business

First Name

ANNE E

Last Name

WAGNER

Business Name

ANNE E WAGNER

Original Issue Date

11/14/2008

Effective Date

09/07/2017

Expiration Date

11/30/2019

City

VERNON HILLS

State

Zip

60061

County

LAKE

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/23/2020