DOROTHY M DAVIS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002318

License Status

NOT RENEWED

Business

First Name

DOROTHY M

Last Name

DAVIS

Business Name

DOROTHY M DAVIS

Original Issue Date

02/04/1981

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

10/11/2005