GLEN L FERGUSON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002912

License Status

INACTIVE

Business

First Name

GLEN L

Last Name

FERGUSON

Business Name

GLEN L FERGUSON

Original Issue Date

12/18/1984

Expiration Date

11/30/1989

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/27/2005