KEITH E WALSTON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003788

License Status

INACTIVE

Business

First Name

KEITH E

Last Name

WALSTON

Business Name

KEITH E WALSTON

Original Issue Date

11/28/1989

Expiration Date

11/30/1995

City

EAST ALTON

State

Zip

62024

Ever Disciplined

LastModifiedDate

05/27/2005