TIMOTHY SCOTT WILEY Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003489

License Status

EXPIRED

Business

First Name

TIMOTHY

Middle

SCOTT

Last Name

WILEY

Business Name

TIMOTHY SCOTT WILEY

Original Issue Date

04/13/2010

Effective Date

04/13/2010

Expiration Date

04/13/2011

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018