MARK THOMAS GOODWIN Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002495

License Status

INACTIVE

Business

First Name

MARK THOMAS

Last Name

GOODWIN

Business Name

MARK THOMAS GOODWIN

Original Issue Date

02/04/1982

Expiration Date

11/30/1985

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

05/27/2005