SAMUEL J EBLEN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004582

License Status

NOT RENEWED

Business

First Name

SAMUEL J

Last Name

EBLEN

Business Name

SAMUEL J EBLEN

Original Issue Date

10/16/1993

Expiration Date

11/30/1995

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/27/2005