FLETCHER R TATE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004751

License Status

NOT RENEWED

Business

First Name

FLETCHER R

Last Name

TATE

Business Name

FLETCHER R TATE

Original Issue Date

08/25/1994

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

10/11/2005