BASIL LLOYD HUMPHREY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001401

License Status

NOT RENEWED

Business

First Name

BASIL LLOYD

Last Name

HUMPHREY

Business Name

BASIL LLOYD HUMPHREY

Original Issue Date

04/08/1976

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/27/2005