Professional License Details
Name: RICHARD C. TIM
DBA:
License Number: 1478
License Type: IS A CERTIFIED NURSE AIDE
Status: ABUSE REGISTERY Nurse Aide Program
Address: 5831 EAST 6TH AVE #D   ANCHORAGE AK 99504  
Expiration Date: 03/31/1996
Current Issue Date: 07/28/1994
First Issue Date: 05/07/1992
Additional Info: HOME HEALTH SUBSTANTIATED COMPLAINT OF ABUSE TO HAVE OCCURRED ON OR ABOUT 2/2/94 WHILE EMPLOYED AT OUR LADY OF COMPASSION CARE CENTER COMPASSION CARE CENTER. LTR REGARDING COMPLAINT FILED 2/8/95 PER CFR PART 483.156(C)IV.
This license has been the subject of a formal agreement, order or disciplinary action. Contact the division for more information.