JAMES R WALL Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000965

License Status

NOT RENEWED

Business

First Name

JAMES R

Last Name

WALL

Business Name

JAMES R WALL

Original Issue Date

12/06/1972

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/27/2005