RAYMOND P BOTCH JR Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003101

License Status

NOT RENEWED

Business

First Name

RAYMOND P

Last Name

BOTCH JR

Business Name

RAYMOND P BOTCH JR

Original Issue Date

11/20/1985

Expiration Date

11/30/1987

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/27/2005