HENRY CLARK JR Nursing Home Administrator License verification

HENRY CLARK JR

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006072

License Status

INACTIVE

Business

First Name

HENRY

Last Name

CLARK

Suffix

Business Name

HENRY CLARK JR

Original Issue Date

06/10/2002

Effective Date

10/28/2011

Expiration Date

11/30/2013

City

DU QUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

09/05/2013

Case Number

2012000196

Action

Reprimand

Discipline Start Date

04/12/2013

Discipline Reason

for failure to have proper policies and procedures in place relating to fall prevention and investigation while employed as the nursing home administrator at an intermediate care facility.