DEBRA LYNNE WAGGLE

Business Entity
NOT RENEWED

Nursing Home Administrator

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

045001589

NOT RENEWED

N

DEBRA

LYNNE

WAGGLE

DEBRA LYNNE WAGGLE

02/06/1988

02/05/1989

OLNEY

IL

62450

RICHLAND

N

05/31/2005