HAROLD A DIETZ Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000782

License Status

NOT RENEWED

Business

First Name

HAROLD A

Last Name

DIETZ

Business Name

HAROLD A DIETZ

Original Issue Date

03/16/1972

Expiration Date

11/30/1983

City

CARTHAGE

State

Zip

62321

County

HANCOCK

Ever Disciplined

LastModifiedDate

05/27/2005