HARVEY P WIEBENGA Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001750

License Status

NOT RENEWED

Business

First Name

HARVEY P

Last Name

WIEBENGA

Business Name

HARVEY P WIEBENGA

Original Issue Date

05/16/1989

Expiration Date

06/20/1990

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

05/31/2005