SARA J FOWLER Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004121

License Status

INACTIVE

Business

First Name

SARA J

Last Name

FOWLER

Business Name

SARA J FOWLER

Original Issue Date

05/25/1991

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

09/02/2009