MARY L WILDMAN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002534

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

WILDMAN

Business Name

MARY L WILDMAN

Original Issue Date

03/05/1998

Expiration Date

02/12/1999

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

05/31/2005