ROY G NICHOLS Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004681

License Status

INACTIVE

Business

First Name

ROY G

Last Name

NICHOLS

Business Name

ROY G NICHOLS

Original Issue Date

03/05/1994

Effective Date

11/26/2003

Expiration Date

11/30/2003

City

VANDALIA

State

Zip

62471

County

FAYETTE

Ever Disciplined

LastModifiedDate

10/11/2005