DEREK T HANSEN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005276

License Status

NOT RENEWED

Business

First Name

DEREK T

Last Name

HANSEN

Business Name

DEREK T HANSEN

Original Issue Date

05/03/1997

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

10/11/2005