REA J WALDO Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010157

License Status

NOT RENEWED

Business

First Name

REA

Middle

Last Name

WALDO

Business Name

REA J WALDO

Original Issue Date

11/30/2006

Effective Date

09/11/2017

Expiration Date

11/30/2019

City

SAINT ELMO

State

Zip

62458

County

FAYETTE

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/23/2020