ROGER D DAUBACH Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003778

License Status

INACTIVE

Business

First Name

ROGER D

Last Name

DAUBACH

Business Name

ROGER D DAUBACH

Original Issue Date

11/22/1989

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/05/2007