R DOUGLAS MCCOLLUM Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000115

License Status

INACTIVE

Business

First Name

R DOUGLAS

Last Name

MCCOLLUM

Business Name

R DOUGLAS MCCOLLUM

Expiration Date

11/30/1987

City

DAVIS

State

Zip

61019

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/27/2005