DORIS R WALLACE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002235

License Status

NOT RENEWED

Business

First Name

DORIS R

Last Name

WALLACE

Business Name

DORIS R WALLACE

Original Issue Date

09/18/1980

Expiration Date

11/30/1985

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

05/27/2005