WARREN RUDY DICK Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002146

License Status

NOT RENEWED

Business

First Name

WARREN RUDY

Last Name

DICK

Business Name

WARREN RUDY DICK

Original Issue Date

11/13/1979

Effective Date

11/09/2017

Expiration Date

11/30/2019

City

ATHENS

State

Zip

62613

County

MENARD

Ever Disciplined

LastModifiedDate

01/23/2020