TIMOTHY FREDERIC WENBERG Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002511

License Status

NOT RENEWED

Business

First Name

TIMOTHY FREDERIC

Last Name

WENBERG

Business Name

TIMOTHY FREDERIC WENBERG

Original Issue Date

02/04/1982

Effective Date

09/02/2009

Expiration Date

11/30/2011

City

GALENA

State

Zip

61036

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

01/05/2012