WILLIAM JAMES MATTINGLY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001530

License Status

NOT RENEWED

Business

First Name

WILLIAM JAMES

Last Name

MATTINGLY

Business Name

WILLIAM JAMES MATTINGLY

Original Issue Date

09/21/1976

Effective Date

09/10/2019

Expiration Date

02/28/2022

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

07/27/2022