DEBRA S FORD Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004088

License Status

INACTIVE

Business

First Name

DEBRA S

Last Name

FORD

Business Name

DEBRA S FORD

Original Issue Date

03/19/1991

Effective Date

11/09/2009

Expiration Date

11/30/2011

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/07/2011

Case Number

1996004510

Action

Fine

Discipline Start Date

09/30/1996

Discipline Reason

Failed to submit sufficient proof of continuing education hours during a Department audit.