SAMUEL L TRUSSELL Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001237

License Status

NOT RENEWED

Business

First Name

SAMUEL L

Last Name

TRUSSELL

Business Name

SAMUEL L TRUSSELL

Original Issue Date

01/07/1975

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/27/2005