THOMAS RAWLS COPPEDGE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000191

License Status

NOT RENEWED

Business

First Name

THOMAS RAWLS

Last Name

COPPEDGE

Business Name

THOMAS RAWLS COPPEDGE

Expiration Date

11/30/1983

City

ELIZABETH

State

Zip

61028

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

05/27/2005