SUSAN K GOERGEN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005047

License Status

NOT RENEWED

Business

First Name

SUSAN K

Last Name

GOERGEN

Business Name

SUSAN K GOERGEN

Original Issue Date

02/28/1996

Expiration Date

11/30/1999

City

GROVELAND

State

Zip

61535

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/27/2005