MARILYN L GRIZZLE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005942

License Status

NOT RENEWED

Business

First Name

MARILYN

Middle

Last Name

GRIZZLE

Business Name

MARILYN L GRIZZLE

Original Issue Date

04/23/2001

Effective Date

01/10/2002

Expiration Date

11/30/2001

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

10/11/2005