THOMAS D DEFAUW - Nursing Home Administrator License in Michigan | # 044005974

THOMAS D DEFAUW

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005974

License Status

INACTIVE

Business

N

First Name

THOMAS

Middle

D

Last Name

DEFAUW

Business Name

THOMAS D DEFAUW

Original Issue Date

08/23/2001

Effective Date

12/01/2005

Expiration Date

11/30/2007

State

MI

Ever Disciplined

N

LastModifiedDate

09/05/2007