EVONNE L MADDOX Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003051

License Status

INACTIVE

Business

First Name

EVONNE L

Last Name

MADDOX

Business Name

EVONNE L MADDOX

Original Issue Date

09/10/1985

Effective Date

11/05/2003

Expiration Date

11/30/2003

City

CRETE

State

Zip

60417

County

WILL

Ever Disciplined

LastModifiedDate

10/11/2005