TIMOTHY WILLIAM LOCKARD Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004288

License Status

EXPIRED

Business

First Name

TIMOTHY

Middle

WILLIAM

Last Name

LOCKARD

Business Name

TIMOTHY WILLIAM LOCKARD

Original Issue Date

09/14/2020

Effective Date

09/14/2020

Expiration Date

09/14/2021

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022