ROBERT P MASSA Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006185

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

MASSA

Business Name

ROBERT P MASSA

Original Issue Date

04/10/2003

Effective Date

11/14/2003

Expiration Date

11/30/2005

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/09/2006