Blair Wagner
ExpiredIllinois license 044005892
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 044005892
- Status
- Expired (Not Renewed)
- First issued
- December 13, 2000
- Expired
- November 30, 2003
- License holder
- Blair Wagner
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Other Health Care
More from the license record
- Current term began
- 01/14/2004
Other Illinois licenses under this name
-
IL
ExpiredDecatur, ILExpired May 12, 2001
Contact
Clinton, IL 61727
De Witt County