WESLEY JAY KIMBROUGH Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003607

License Status

EXPIRED

Business

First Name

WESLEY

Middle

JAY

Last Name

KIMBROUGH

Business Name

WESLEY JAY KIMBROUGH

Original Issue Date

10/07/2011

Effective Date

10/29/2012

Expiration Date

02/10/2013

City

LEWISTOWN

State

Zip

61542

County

FULTON

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018