SUSAN K SOUTH Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004538

License Status

NOT RENEWED

Business

First Name

SUSAN K

Last Name

SOUTH

Business Name

SUSAN K SOUTH

Original Issue Date

08/26/1993

Effective Date

12/17/2009

Expiration Date

11/30/2011

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/05/2012