DALE RUSSELL SEVERIN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002056

License Status

NOT RENEWED

Business

First Name

DALE RUSSELL

Last Name

SEVERIN

Business Name

DALE RUSSELL SEVERIN

Original Issue Date

05/30/1979

Expiration Date

11/30/1993

City

WEST FRANKFORT

State

Zip

62896

County

FRANKLIN

Ever Disciplined

LastModifiedDate

05/27/2005