BECKY J MAIN Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005596

License Status

INACTIVE

Business

First Name

BECKY

Middle

Last Name

MAIN

Business Name

BECKY J MAIN

Original Issue Date

03/01/1999

Effective Date

11/27/2001

Expiration Date

11/30/2001

City

FT HUACHUCA

State

Zip

85670

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/11/2005