RICHARD DAVID CANNON - Nursing Home Administrator License in Indiana | # 044000852

RICHARD DAVID CANNON

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000852

License Status

NOT RENEWED

Business

N

First Name

RICHARD DAVID

Last Name

CANNON

Business Name

RICHARD DAVID CANNON

Original Issue Date

06/24/1972

State

IN

Ever Disciplined

N

LastModifiedDate

05/27/2005