TIMOTHY P WIEDER Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001706

License Status

NOT RENEWED

Business

First Name

TIMOTHY P

Last Name

WIEDER

Business Name

TIMOTHY P WIEDER

Original Issue Date

06/13/1977

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/27/2005