BARBARA A RANDOLPH Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005271

License Status

INACTIVE

Business

First Name

BARBARA A

Last Name

RANDOLPH

Business Name

BARBARA A RANDOLPH

Original Issue Date

03/28/1997

Effective Date

10/05/2009

Expiration Date

11/30/2011

City

MEDORA

State

Zip

62063

County

JERSEY

Ever Disciplined

LastModifiedDate

09/07/2011