KEITH V FISHER Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005913

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

FISHER

Business Name

KEITH V FISHER

Original Issue Date

02/20/2001

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/11/2005