DEBRA L MOORE Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004753

License Status

INACTIVE

Business

First Name

DEBRA L

Last Name

MOORE

Business Name

DEBRA L MOORE

Original Issue Date

08/25/1994

Effective Date

12/09/2003

Expiration Date

11/30/2003

City

PEORIA HEIGHTS

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/11/2005