BENNY JOE PERKINS JR Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002586

License Status

NOT RENEWED

Business

First Name

BENNY JOE

Last Name

PERKINS JR

Business Name

BENNY JOE PERKINS JR

Original Issue Date

10/04/1982

Effective Date

12/02/2019

Expiration Date

02/28/2022

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022