MARY K WOLTZEN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006168

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

WOLTZEN

Business Name

MARY K WOLTZEN

Original Issue Date

03/07/2003

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

ANDALUSIA

State

Zip

61232

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/11/2005