EVELYN L BACON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000982

License Status

INACTIVE

Business

First Name

EVELYN L

Last Name

BACON

Business Name

EVELYN L BACON

Original Issue Date

03/22/1973

Expiration Date

11/30/1985

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

05/27/2005