CHARLES E CAMPBELL Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004713

License Status

NOT RENEWED

Business

First Name

CHARLES E

Last Name

CAMPBELL

Business Name

CHARLES E CAMPBELL

Original Issue Date

06/01/1994

Effective Date

05/28/2004

Expiration Date

11/30/2005

City

HILLSBORO

State

Zip

62049

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

01/09/2006