ALONZO H KENNIEBREW Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000944

License Status

INACTIVE

Business

First Name

ALONZO H

Last Name

KENNIEBREW

Business Name

ALONZO H KENNIEBREW

Original Issue Date

12/06/1972

Expiration Date

11/30/1985

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/27/2005