LAUREL EDWIN WERTH Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002628

License Status

NOT RENEWED

Business

First Name

LAUREL EDWIN

Last Name

WERTH

Business Name

LAUREL EDWIN WERTH

Original Issue Date

12/06/1982

Expiration Date

11/30/1985

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

05/27/2005