ANGELA M WILEY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002929

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

WILEY

Business Name

ANGELA M WILEY

Original Issue Date

03/06/2003

Effective Date

05/02/2005

Expiration Date

03/06/2005

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

05/31/2005