RICHARD W KIRBY Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005991

License Status

INACTIVE

Business

First Name

RICHARD

Middle

Last Name

KIRBY

Business Name

RICHARD W KIRBY

Original Issue Date

11/15/2001

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/05/2007