GALE A ERWIN Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005689

License Status

INACTIVE

Business

First Name

GALE

Middle

Last Name

ERWIN

Business Name

GALE A ERWIN

Original Issue Date

10/15/1999

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

09/02/2009