ROBERT E MATTOX Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002965

License Status

INACTIVE

Business

First Name

ROBERT E

Last Name

MATTOX

Business Name

ROBERT E MATTOX

Original Issue Date

02/15/1985

Effective Date

09/20/2011

Expiration Date

11/30/2013

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

09/05/2013