MICHAEL W MARTIN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005055

License Status

NOT RENEWED

Business

First Name

MICHAEL W

Last Name

MARTIN

Business Name

MICHAEL W MARTIN

Original Issue Date

02/28/1996

Effective Date

10/03/2018

Expiration Date

11/30/2019

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

01/23/2020