KYLE C MOORE Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002176

License Status

INACTIVE

Business

First Name

KYLE C

Last Name

MOORE

Business Name

KYLE C MOORE

Original Issue Date

02/04/1980

Effective Date

11/13/2017

Expiration Date

11/30/2019

City

ODIN

State

Zip

62870

County

MARION

Ever Disciplined

LastModifiedDate

09/04/2019