REGINA L PENROD Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004969

License Status

NOT RENEWED

Business

First Name

REGINA L

Last Name

PENROD

Business Name

REGINA L PENROD

Original Issue Date

09/01/1995

Effective Date

11/05/2003

Expiration Date

11/30/2005

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

01/09/2006