RON P BRAGG Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005674

License Status

NOT RENEWED

Business

First Name

RON

Middle

Last Name

BRAGG

Business Name

RON P BRAGG

Original Issue Date

09/02/1999

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/11/2005