DOUGLAS R BRINK Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004140

License Status

INACTIVE

Business

First Name

DOUGLAS R

Last Name

BRINK

Business Name

DOUGLAS R BRINK

Original Issue Date

07/01/1991

Expiration Date

11/30/1995

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/27/2005