GERALD L DUBOIS Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001609

License Status

INACTIVE

Business

First Name

GERALD L

Last Name

DUBOIS

Business Name

GERALD L DUBOIS

Original Issue Date

02/07/1977

Effective Date

11/24/2009

Expiration Date

11/30/2011

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

09/07/2011