ASHTON C WALLER Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001120

License Status

NOT RENEWED

Business

First Name

ASHTON C

Last Name

WALLER

Business Name

ASHTON C WALLER

Original Issue Date

03/12/1974

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

05/27/2005