VICTORIA A WILDER Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005823

License Status

INACTIVE

Business

First Name

VICTORIA

Middle

Last Name

WILDER

Business Name

VICTORIA A WILDER

Original Issue Date

06/23/2000

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/05/2007