TIMOTHY L KMETZ Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011379

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

KMETZ

Business Name

TIMOTHY L KMETZ

Original Issue Date

08/08/2016

Effective Date

09/11/2017

Expiration Date

11/30/2019

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/23/2020