HARVEY P WIEBENGA - Nursing Home Administrator License in Illinois | # 045001750

HARVEY P WIEBENGA

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001750

License Status

NOT RENEWED

Business

N

First Name

HARVEY P

Last Name

WIEBENGA

Business Name

HARVEY P WIEBENGA

Original Issue Date

05/16/1989

Expiration Date

06/20/1990

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005