THEODORE IVAN MARCUS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011125

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

IVAN

Last Name

MARCUS

Business Name

THEODORE IVAN MARCUS

Original Issue Date

06/03/2014

Effective Date

10/02/2019

Expiration Date

02/28/2022

City

SAFFORD

State

Zip

85546

County

ARIZONA

Ever Disciplined

LastModifiedDate

07/27/2022