TIMOTHY L KEITH Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011860

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

KEITH

Business Name

TIMOTHY L KEITH

Original Issue Date

05/12/2021

Effective Date

02/19/2022

Expiration Date

11/30/2023

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/16/2024