Traci S Wagner
InactiveIllinois license 044005938
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 044005938
- Status
- Inactive
- First issued
- April 11, 2001
- Expired
- November 30, 2005
- License holder
- Traci S Wagner
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Other Health Care
More from the license record
- Current term began
- 12/01/2003
Contact
Dixon, IL 61021
Lee County