KEVIN R GOODRUM Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003813

License Status

NOT RENEWED

Business

First Name

KEVIN R

Last Name

GOODRUM

Business Name

KEVIN R GOODRUM

Original Issue Date

11/28/1989

Expiration Date

11/30/1993

City

PETERSBURG

State

Zip

62675

County

MENARD

Ever Disciplined

LastModifiedDate

05/27/2005