DARYL A WILES Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003126

License Status

INACTIVE

Business

First Name

DARYL A

Last Name

WILES

Business Name

DARYL A WILES

Original Issue Date

01/24/1986

Expiration Date

11/30/1997

City

MOUNT OLIVE

State

Zip

62069

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/27/2005