SCOTT L WIDENER Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003610

License Status

EXPIRED

Business

First Name

SCOTT

Middle

Last Name

WIDENER

Business Name

SCOTT L WIDENER

Original Issue Date

10/20/2011

Effective Date

10/20/2012

Expiration Date

03/01/2013

City

ALEDO

State

Zip

61231

County

MERCER

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018