GEORGE B FORNESS JR Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002171

License Status

INACTIVE

Business

First Name

GEORGE B

Last Name

FORNESS JR

Business Name

GEORGE B FORNESS JR

Original Issue Date

02/04/1980

Expiration Date

11/30/1997

City

COLLINSVILLE

State

Zip

62234

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/27/2005