TERRY J WISECARVER Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002261

License Status

NOT RENEWED

Business

First Name

TERRY J

Last Name

WISECARVER

Business Name

TERRY J WISECARVER

Original Issue Date

09/01/1994

Expiration Date

08/08/1995

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/31/2005