WALTER C WAITE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003173

License Status

NOT RENEWED

Business

First Name

WALTER C

Last Name

WAITE

Business Name

WALTER C WAITE

Original Issue Date

12/05/1985

Effective Date

12/08/2003

Expiration Date

11/30/2005

City

ELMWOOD

State

Zip

61529

County

PEORIA

Ever Disciplined

LastModifiedDate

01/09/2006