LAWRENCE A BUSSARD Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002935

License Status

INACTIVE

Business

First Name

LAWRENCE A

Last Name

BUSSARD

Business Name

LAWRENCE A BUSSARD

Original Issue Date

01/04/1985

Expiration Date

11/30/1997

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/27/2005