CARL THOMAS LARSON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000555

License Status

INACTIVE

Business

First Name

CARL THOMAS

Last Name

LARSON

Business Name

CARL THOMAS LARSON

Expiration Date

11/30/1985

City

NOKOMIS

State

Zip

62705

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

05/27/2005