LANCE P AVERY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005139

License Status

NOT RENEWED

Business

First Name

LANCE P

Last Name

AVERY

Business Name

LANCE P AVERY

Original Issue Date

07/01/1996

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

CREAL SPRINGS

State

Zip

62922

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/11/2005