CAROL L GOODMAN Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000834

License Status

INACTIVE

Business

First Name

CAROL L

Last Name

GOODMAN

Business Name

CAROL L GOODMAN

Original Issue Date

06/24/1972

Effective Date

10/01/2003

Expiration Date

11/30/2003

City

COBDEN

State

Zip

62920

County

UNION

Ever Disciplined

LastModifiedDate

10/11/2005