PETER ALLEN WIEDMAN Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004704

License Status

ACTIVE

Business

First Name

PETER

Middle

ALLEN

Last Name

WIEDMAN

Business Name

PETER ALLEN WIEDMAN

Original Issue Date

04/25/2025

Effective Date

04/25/2025

Expiration Date

04/25/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

06/24/2025