TAMMY ANN WAGNER Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010546

License Status

NOT RENEWED

Business

First Name

TAMMY

Middle

ANN

Last Name

WAGNER

Business Name

TAMMY ANN WAGNER

Original Issue Date

01/26/2010

Effective Date

11/16/2023

Expiration Date

11/30/2025

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

03/05/2026