BRENT DEWITT DC Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001808

License Status

NOT RENEWED

Business

First Name

BRENT

Last Name

DEWITT

Suffix

Business Name

BRENT DEWITT DC

Original Issue Date

10/28/1977

Expiration Date

11/30/1983

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/13/2007