LEO E MATTINGLY JR Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001757

License Status

INACTIVE

Business

First Name

LEO E

Last Name

MATTINGLY JR

Business Name

LEO E MATTINGLY JR

Original Issue Date

08/24/1977

Expiration Date

11/30/1997

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/27/2005