JUDITH A DOUGLASS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005691

License Status

NOT RENEWED

Business

First Name

JUDITH

Middle

Last Name

DOUGLASS

Business Name

JUDITH A DOUGLASS

Original Issue Date

10/20/1999

Effective Date

07/31/2007

Expiration Date

11/30/2007

City

ATKINSON

State

Zip

61235

County

HENRY

Ever Disciplined

LastModifiedDate

01/04/2008