DOUGLAS M MILLS Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005668

License Status

INACTIVE

Business

First Name

DOUGLAS

Middle

Last Name

MILLS

Business Name

DOUGLAS M MILLS

Original Issue Date

08/30/1999

Effective Date

11/16/2009

Expiration Date

11/30/2011

City

BARRY

State

Zip

62312

County

PIKE

Ever Disciplined

LastModifiedDate

09/07/2011