THEODORE IVAN MARCUS - Nursing Home Administrator License in Arizona | # 044011125

THEODORE IVAN MARCUS

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011125

License Status

NOT RENEWED

Business

N

First Name

THEODORE

Middle

IVAN

Last Name

MARCUS

Business Name

THEODORE IVAN MARCUS

Original Issue Date

06/03/2014

Effective Date

10/02/2019

Expiration Date

02/28/2022

State

AZ

Ever Disciplined

N

LastModifiedDate

07/27/2022