GERALDINE P POTTER - Nursing Home Administrator License in Missouri | # 045001705

GERALDINE P POTTER

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001705

License Status

NOT RENEWED

Business

N

First Name

GERALDINE

Middle

P

Last Name

POTTER

Business Name

GERALDINE P POTTER

Original Issue Date

01/17/1989

Expiration Date

07/03/1990

State

MO

Ever Disciplined

N

LastModifiedDate

05/31/2005