KENNETH R FORD Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004108

License Status

INACTIVE

Business

First Name

KENNETH R

Last Name

FORD

Business Name

KENNETH R FORD

Original Issue Date

05/20/1991

Expiration Date

11/30/1993

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

05/27/2005