PATRICK ALLEN DEVINE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002219

License Status

NOT RENEWED

Business

First Name

PATRICK ALLEN

Last Name

DEVINE

Business Name

PATRICK ALLEN DEVINE

Original Issue Date

06/16/1980

Effective Date

11/05/2015

Expiration Date

11/30/2017

City

DORSEY

State

Zip

62021

County

MADISON

Ever Disciplined

LastModifiedDate

01/04/2018