DAVID ROBERTS Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003311

License Status

INACTIVE

Business

First Name

DAVID

Last Name

ROBERTS

Business Name

DAVID ROBERTS

Original Issue Date

12/16/1986

Effective Date

09/27/2011

Expiration Date

11/30/2013

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

09/05/2013