JUDY KAY LARSON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003803

License Status

NOT RENEWED

Business

First Name

JUDY KAY

Last Name

LARSON

Business Name

JUDY KAY LARSON

Original Issue Date

11/15/1989

Effective Date

12/19/2003

Expiration Date

11/30/2005

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/09/2006