CHARLES E HENDERSON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002763

License Status

INACTIVE

Business

First Name

CHARLES E

Last Name

HENDERSON

Business Name

CHARLES E HENDERSON

Original Issue Date

07/07/1983

Effective Date

01/07/2004

Expiration Date

11/30/2003

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/11/2005