CLARENCE J MOATES Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004220

License Status

NOT RENEWED

Business

First Name

CLARENCE J

Last Name

MOATES

Business Name

CLARENCE J MOATES

Original Issue Date

12/04/1991

Expiration Date

11/30/1993

City

BENTONVILLE

State

Zip

72712

County

ARKANSAS

Ever Disciplined

LastModifiedDate

05/27/2005