KIMBERLY J WITTENBERG Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011388

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

WITTENBERG

Business Name

KIMBERLY J WITTENBERG

Original Issue Date

09/02/2016

Effective Date

11/21/2025

Expiration Date

11/30/2027

City

BLOOMINGTON

State

Zip

61704

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

11/21/2025