CARRELL BREEZE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005094

License Status

NOT RENEWED

Business

First Name

CARRELL

Last Name

BREEZE

Business Name

CARRELL BREEZE

Original Issue Date

03/21/1996

Effective Date

10/11/2011

Expiration Date

11/30/2013

City

BLUFORD

State

Zip

62814

County

JEFFERSON

Ever Disciplined

LastModifiedDate

02/19/2014