ANGELA M WILEY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010053

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

WILEY

Business Name

ANGELA M WILEY

Original Issue Date

12/27/2005

Effective Date

11/06/2017

Expiration Date

11/30/2019

City

WATERLOO

State

Zip

62298

County

MONROE

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/23/2020