WILLIAM G COFFIN Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005477

License Status

INACTIVE

Business

First Name

WILLIAM

Middle

Last Name

COFFIN

Business Name

WILLIAM G COFFIN

Original Issue Date

07/06/1998

Effective Date

11/14/2003

Expiration Date

11/30/2005

City

CHENOA

State

Zip

61726

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

10/11/2005