TERRY BRAIDWOOD Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003329

License Status

NOT RENEWED

Business

First Name

TERRY

Last Name

BRAIDWOOD

Business Name

TERRY BRAIDWOOD

Original Issue Date

12/16/1986

Effective Date

12/04/2017

Expiration Date

11/30/2019

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/23/2020