TIM M PADDOCK Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001860

License Status

NOT RENEWED

Business

First Name

TIM

Middle

Last Name

PADDOCK

Business Name

TIM M PADDOCK

Original Issue Date

03/31/1990

Expiration Date

03/30/1991

City

CENTRALIA

State

Zip

62801

County

CLINTON

Ever Disciplined

LastModifiedDate

05/31/2005