THOMAS GERARD WALTHER Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003142

License Status

EXPIRED

Business

First Name

THOMAS

Middle

GERARD

Last Name

WALTHER

Business Name

THOMAS GERARD WALTHER

Original Issue Date

04/05/2006

Effective Date

04/05/2006

Expiration Date

04/05/2007

City

COULTERVILLE

State

Zip

62237

County

RANDOLPH

Specialty/Qualifier

LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018