MIGNON E GOODPASTURE Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005552

License Status

INACTIVE

Business

First Name

MIGNON

Middle

Last Name

GOODPASTURE

Business Name

MIGNON E GOODPASTURE

Original Issue Date

12/03/1998

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

CONCORD

State

Zip

62631

County

MORGAN

Ever Disciplined

LastModifiedDate

09/05/2007