GARY WILLIAM MOEHLE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001897

License Status

NOT RENEWED

Business

First Name

GARY WILLIAM

Last Name

MOEHLE

Business Name

GARY WILLIAM MOEHLE

Original Issue Date

06/22/1978

Expiration Date

11/30/1985

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/27/2005