MAVIS WADDELL Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001778

License Status

NOT RENEWED

Business

First Name

MAVIS

Last Name

WADDELL

Business Name

MAVIS WADDELL

Original Issue Date

08/15/1989

Expiration Date

07/01/1990

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/31/2005