KAREN S FORCUM Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003920

License Status

INACTIVE

Business

First Name

KAREN S

Last Name

FORCUM

Business Name

KAREN S FORCUM

Original Issue Date

07/19/1990

Effective Date

10/22/2003

Expiration Date

11/30/2005

City

MODE

State

Zip

62444

County

SHELBY

Ever Disciplined

LastModifiedDate

10/11/2005