Blair Wagner

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

045002710

Status

Expired (Not Renewed)

First issued

August 9, 2000

Expired

May 12, 2001

License holder

Blair Wagner

Entity type

Individual

Classifications

• Licensed Nursing Home Administrator Temporary Other Health Care

More from the license record

Current term began

10/25/2001

Other Illinois licenses under this name

• IL
  Blair Wagner

  License 044005892

  Licensed Nursing Home Administrator
  Expired

  Clinton, IL

  Expired Nov 30, 2003

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