DAVID GLEN PEASE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002271

License Status

NOT RENEWED

Business

First Name

DAVID GLEN

Last Name

PEASE

Business Name

DAVID GLEN PEASE

Original Issue Date

11/12/1980

Expiration Date

11/30/1999

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

05/27/2005