ROGER L HOLLOWAY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002948

License Status

NOT RENEWED

Business

First Name

ROGER L

Last Name

HOLLOWAY

Business Name

ROGER L HOLLOWAY

Original Issue Date

01/18/1985

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

10/11/2005