HAROLD D WILSON Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002904

License Status

CANCELLED

Business

First Name

HAROLD

Middle

Last Name

WILSON

Business Name

HAROLD D WILSON

Original Issue Date

10/16/2002

Effective Date

05/28/2004

Expiration Date

10/16/2003

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/31/2005