DALE L VANAUSDOLL Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002427

License Status

NOT RENEWED

Business

First Name

DALE L

Last Name

VANAUSDOLL

Business Name

DALE L VANAUSDOLL

Original Issue Date

09/04/1981

Expiration Date

11/30/1987

City

PETERSBURG

State

Zip

62675

County

MENARD

Ever Disciplined

LastModifiedDate

05/27/2005