CARROLL DALE RAYBURN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000677

License Status

NOT RENEWED

Business

First Name

CARROLL DALE

Last Name

RAYBURN

Business Name

CARROLL DALE RAYBURN

City

GIRARD

State

Zip

62640

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/27/2005