DIXIE L WAGY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002597

License Status

NOT RENEWED

Business

First Name

DIXIE L

Last Name

WAGY

Business Name

DIXIE L WAGY

Original Issue Date

02/18/1999

Effective Date

01/05/2001

Expiration Date

02/18/2000

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

05/31/2005