GREGORY A SANDIDGE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006033

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

SANDIDGE

Business Name

GREGORY A SANDIDGE

Original Issue Date

03/06/2002

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

BASCO

State

Zip

62313

County

HANCOCK

Ever Disciplined

LastModifiedDate

01/07/2010