KEVIN L HOLMAN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005773

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

HOLMAN

Business Name

KEVIN L HOLMAN

Original Issue Date

03/21/2000

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

10/11/2005