License Information
License Number
045002414Business Name
KIMBERLY G WITTENBORNLicense Type
NURSING HOME ADMINOriginal Issue Date
1970-01-01License Status
NOT RENEWEDCity
SPARTAState
ILCounty
RANDOLPHPost
62286Update Date
2023-08-27Business
NExpiration Date
01/10/1998Ever Disciplined
NLastModifiedDate
05/31/2005Registered Location
Peripheral Licensees
- SPARTA COMMUNITY HOSPITAL SPARTA, IL 62286
- THERON A DEROUSSE SPARTA, IL 62286
- VERNA R DEROUSSE SPARTA, IL 62286
- ALL TECH RESEARCH & DEVELOPMENT INC SPARTA, IL 62286
- VERNON A FALKENHAIN SPARTA, IL 62286
- IRENE PALMER SPARTA, TN 38583
- EVELYN E KIEFER SPARTA, IL 62286
- FRANCES L CLARK SPARTA, IL 62286
- NORMA L SOMMER SPARTA, IL 62286
- SPECIAL EFFECTS DAY SPA SPARTA, IL 62286