BENTON MILLER HARLAN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001377

License Status

NOT RENEWED

Business

First Name

BENTON MILLER

Last Name

HARLAN

Business Name

BENTON MILLER HARLAN

Original Issue Date

12/31/1975

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/27/2005