RONNIE D WAMPLER Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003112

License Status

NOT RENEWED

Business

First Name

RONNIE D

Last Name

WAMPLER

Business Name

RONNIE D WAMPLER

Original Issue Date

01/06/1986

Effective Date

09/10/2013

Expiration Date

11/30/2015

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/08/2016