ROGER D HERVEY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000990

License Status

NOT RENEWED

Business

First Name

ROGER D

Last Name

HERVEY

Business Name

ROGER D HERVEY

Original Issue Date

03/22/1973

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

GALENA

State

Zip

61036

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

10/11/2005