JEREMY R MAUPIN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005266

License Status

NOT RENEWED

Business

First Name

JEREMY R

Last Name

MAUPIN

Business Name

JEREMY R MAUPIN

Original Issue Date

03/19/1997

Effective Date

11/01/2019

Expiration Date

02/28/2022

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

07/27/2022