CLIFFORD B HARGROVE Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006279

License Status

INACTIVE

Business

First Name

CLIFFORD

Middle

Last Name

HARGROVE

Business Name

CLIFFORD B HARGROVE

Original Issue Date

02/26/2004

Effective Date

11/02/2005

Expiration Date

11/30/2005

City

FITZGERALD

State

Zip

31750

County

GEORGIA

Ever Disciplined

LastModifiedDate

11/02/2005