HARVEY P WIEBENGA Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003922

License Status

INACTIVE

Business

First Name

HARVEY P

Last Name

WIEBENGA

Business Name

HARVEY P WIEBENGA

Original Issue Date

07/19/1990

Expiration Date

11/30/1995

City

FULTON

State

Zip

61252

County

WHITESIDE

Ever Disciplined

LastModifiedDate

05/27/2005