KIMBERLY A WAITY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001977

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

WAITY

Business Name

KIMBERLY A WAITY

Original Issue Date

03/05/1991

Expiration Date

03/05/1992

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/31/2005