RALPH F TRAVIS Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001350

License Status

INACTIVE

Business

First Name

RALPH F

Last Name

TRAVIS

Business Name

RALPH F TRAVIS

Original Issue Date

09/25/1975

Effective Date

01/07/2004

Expiration Date

11/30/2003

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

10/11/2005