ROGER E DAVID Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002489

License Status

INACTIVE

Business

First Name

ROGER E

Last Name

DAVID

Business Name

ROGER E DAVID

Original Issue Date

02/04/1982

Expiration Date

11/30/1989

City

ATHENS

State

Zip

62613

County

MENARD

Ever Disciplined

LastModifiedDate

07/12/2007