WALLACE H GRANSTROM Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001524

License Status

INACTIVE

Business

First Name

WALLACE H

Last Name

GRANSTROM

Business Name

WALLACE H GRANSTROM

Original Issue Date

09/21/1976

Expiration Date

11/30/1987

City

SALINAS

State

Zip

93908

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

05/27/2005