Facility Details « Licensing and Management System Admin

Facility ID:16762KWFH

Application	Submit Date
0000162639 Minor Modification Amendment Granted, Active Status Date: 03/07/2022	03/04/2022
0000162639 Minor Modification Superceded, In-Active Status Date: 03/07/2022	10/04/2021
BLED-20120326AHI License To Cover Granted, Active Status Date: 04/11/2012	03/26/2012
BMPED-20120313AAD Minor Modification Granted, In-Active Status Date: 03/16/2012	03/13/2012
BMPED-20110610ADK Minor Modification Granted, In-Active Status Date: 07/19/2011	06/10/2011
BPED-20090128ABE Minor Modification Granted, In-Active Status Date: 03/25/2009	01/28/2009
BPED-20050602AAM Minor Modification Amendment Granted, In-Active Status Date: 03/08/2006	06/02/2005
BPED-20050602AAM Minor Modification Superceded, In-Active Status Date: 07/14/2005	06/02/2005
BPED-20041124AGA Minor Modification Dismissed, In-Active Status Date: 05/26/2005	11/24/2004
BLED-19951107KD License To Cover Granted, In-Active Status Date: 03/22/1996	11/07/1995
BPED-19950324IA Major Modification Granted, In-Active Status Date: 10/18/1995	03/24/1995
BLED-19940228KC License To Cover Granted, In-Active Status Date: 08/30/1994	02/28/1994
BPED-19930408IE Minor Modification Granted, In-Active Status Date: 01/13/1994	04/08/1993
BLED-19930408KE License To Cover Dismissed, In-Active Status Date: 09/09/1994	04/08/1993
BLED-19850102KW License To Cover Granted, In-Active Status Date: 09/25/1985	01/02/1985