DAVID O EVERSOLE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003836

License Status

NOT RENEWED

Business

First Name

DAVID O

Last Name

EVERSOLE

Business Name

DAVID O EVERSOLE

Original Issue Date

12/22/1989

Effective Date

09/16/2011

Expiration Date

11/30/2013

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

02/19/2014