DALE G MILLER Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005527

License Status

INACTIVE

Business

First Name

DALE

Middle

Last Name

MILLER

Business Name

DALE G MILLER

Original Issue Date

10/06/1998

Effective Date

09/26/2001

Expiration Date

11/30/2001

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/11/2005