CAROYLN ANN GIBBONS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001521

License Status

NOT RENEWED

Business

First Name

CAROYLN ANN

Last Name

GIBBONS

Business Name

CAROYLN ANN GIBBONS

Original Issue Date

09/21/1976

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

ALHAMBRA

State

Zip

62001

County

MADISON

Ever Disciplined

LastModifiedDate

10/11/2005