CHARLES C LEISKY JR Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006113

License Status

INACTIVE

Business

First Name

CHARLES

Middle

Last Name

LEISKY JR

Business Name

CHARLES C LEISKY JR

Original Issue Date

09/03/2002

Effective Date

11/04/2003

Expiration Date

11/30/2005

City

FORSYTH

State

Zip

62535

County

MACON

Ever Disciplined

LastModifiedDate

10/11/2005