FRED A PAUL Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002566

License Status

INACTIVE

Business

First Name

FRED A

Last Name

PAUL

Business Name

FRED A PAUL

Original Issue Date

10/04/1982

Expiration Date

11/30/1989

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/27/2005