J T WEATHERFORD Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001045

License Status

INACTIVE

Business

First Name

J T

Last Name

WEATHERFORD

Business Name

J T WEATHERFORD

Original Issue Date

06/20/1973

Expiration Date

11/30/1987

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/27/2005