ANITA JANE COLLINS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005299

License Status

NOT RENEWED

Business

First Name

ANITA JANE

Last Name

COLLINS

Business Name

ANITA JANE COLLINS

Original Issue Date

06/04/1997

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/11/2005