License holder summary

KELLY E WIEST is a Nursing Home Administrator licensed to practice in Pennsylvania. The address on file for KELLY E WIEST is SANTA CLARA CA 95050. This licensed professional license is not current. The license was granted 04/24/1979 and expired on 06/30/1984.

Pennsylvania

Department of State

KELLY E WIEST
Nursing Home Administrator
License number
NH001828L
Date granted
04/24/1979
Date expires
06/30/1984
Class
Nursing Home Administrator
Status
Inactive
Address
SANTA CLARA CA 95050
palicensing.org
ID 16914267
LAST UPDATED 2024-02-16 12:48:22 UTC

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