KENNETH B WILDMAN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002971

License Status

NOT RENEWED

Business

First Name

KENNETH B

Last Name

WILDMAN

Business Name

KENNETH B WILDMAN

Original Issue Date

02/15/1985

Expiration Date

11/30/1987

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/27/2005