DONNA S ERWIN Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001972

License Status

INACTIVE

Business

First Name

DONNA S

Last Name

ERWIN

Business Name

DONNA S ERWIN

Original Issue Date

12/11/1978

Expiration Date

11/30/1985

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/27/2005