MARY COSS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000936

License Status

NOT RENEWED

Business

First Name

MARY

Last Name

COSS

Business Name

MARY COSS

Original Issue Date

12/06/1972

Expiration Date

11/30/1987

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

05/27/2005