CARLA J GREENWOOD Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005127

License Status

NOT RENEWED

Business

First Name

CARLA J

Last Name

GREENWOOD

Business Name

CARLA J GREENWOOD

Original Issue Date

06/11/1996

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/11/2005