BLAINE S FOX Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002577

License Status

NOT RENEWED

Business

First Name

BLAINE S

Last Name

FOX

Business Name

BLAINE S FOX

Original Issue Date

10/04/1982

Expiration Date

11/30/1999

City

SHANNON

State

Zip

61078

County

CARROLL

Ever Disciplined

LastModifiedDate

05/27/2005