RICK S WILFONG Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004454

License Status

NOT RENEWED

Business

First Name

RICK S

Last Name

WILFONG

Business Name

RICK S WILFONG

Original Issue Date

03/04/1993

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/11/2005