JAMES KENNETH WAYNE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000165

License Status

NOT RENEWED

Business

First Name

JAMES KENNETH

Last Name

WAYNE

Business Name

JAMES KENNETH WAYNE

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

10/11/2005